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Paternité après traitement du cancer du testicule: enquête sur 136 patients

Paternity after treatment of testicular cancer

Resume

A partir d'un questionnaire adressé à 136 patients suivis de 1981 à 1993, nous tentons d'évaluer, de façon rétrospective, la paternité aprés traitement du cancer du testicule.

Sur les 76 réponses obtenues, 56% des patients ont eu au moins un enfant. Aprés traitement, environ 35% des patients sont considérés comme stériles. Le type de traitement, quel que soit sa modalité, ne semble pas avoir d'influence sur la paternité future. Seulement trois couples, sur les quarante trois patients ayant un désir d'enfant ont eu recours à une procréation médicalement assistée. Au total, 46 grossesses (dont une par fécondation in vitro) ont été obtenues avec un délai moyen de 4 ans par rapport à la fin du traitement.

Nous pensons qu'une étude prospective, en collaboration avec les CECOS apparaît nécessaire pour confirmer ces résultats.

Abstract

We sent a questionnaire to 136 patients, treated between 1981 and 1993, to try to evaluate, retrospectively, fertility amongst patients following treatment for testicular cancer.

From the 76 complete questionnaires, 56% of patients had fathered at least one child. After treatment, approximately 35% of patients were steriles. Treatment, in wich ever form, does not seem to influence fertility. Only 3 couples resorted to infertility treatment. There were 46 pregnancies in total, one of wich resulted from IVF, on average 4 years after the end of treatment for testicular cancer.

A prospective study carried out in conjonction with the centre for study and conservation of sperm would seem to be neceessary to consolidate these findings.

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Lanfrey, P., Houlgatte, A., Houdelette, P. et al. Paternité après traitement du cancer du testicule: enquête sur 136 patients. Androl. 7, 76–81 (1997). https://doi.org/10.1007/BF03034521

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