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Infertilité et hypogonadisme primaire acquis après herniorraphie inguinale bilatérale

Infertility and primary acquired hypogonadism after bilateral inguinal hernia repair

Basic and Clinical Andrology volume 20, pages 276–278 (2010)Cite this article

Résumé

L’hypogonadisme primaire acquis par atrophie testiculaire (AT) ischémique bilatérale est peu fréquent parmi les causes d’infertilité. Les auteurs rapportent chez un patient de 35 ans ayant consulté pour infertilité, une AT d’origine ischémique après une cure chirurgicale de hernie inguinale bilatérale selon la technique de Mac-Vay. Le bilan hormonal était typique: LH et FSH élevées, testostérone basse. La fréquence plus élevée d’AT après cure de hernie inguinale par les techniques sous tension comparée à celle consécutive aux techniques sans tension est rappelée. Ce cas clinique s’ajoute aux cas rares d’AT parmi les causes d’infertilité.

Abstract

Primary acquired hypogonadism due to ischemic testicular atrophy is infrequent among the causes of male infertility. The authors report a case of a 35-year-old man presenting with infertility secondary to bilateral inguinal hernia repair using Mac-Vay technique. The patient had atrophy of both testes, and endocrinal analyses were typical: high LH and FSH levels but low testosterone level. The high rate of testicular atrophy in classical inguinal repair compared with those of tension-free techniques is recalled. The current case has to be added to the rare cases of male infertility.

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Authors and Affiliations

  1. Service d’urologie, cliniques universitaires de Kinshasa, BP 123, Kinshasa-XI, RD Congo

    A.M.-L. Punga-Maole

  2. Service d’urologie, clinique Ngaliema, Kinshasa, RD Congo

    K. Mobile

  3. Service d’imagerie médicale, cabinet d’imagerie de la Gombe, Kinshasa, RD Congo

    A.B. Mbongo

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  1. A.M.-L. Punga-Maole
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  2. K. Mobile
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  3. A.B. Mbongo
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Correspondence to A.M.-L. Punga-Maole.

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Open Access This article is published under license to BioMed Central Ltd. This is an Open Access article is distributed under the terms of the Creative Commons Attribution License ( https://creativecommons.org/licenses/by/2.0 ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Punga-Maole, AL., Mobile, K. & Mbongo, A. Infertilité et hypogonadisme primaire acquis après herniorraphie inguinale bilatérale. Basic Clin. Androl. 20, 276–278 (2010). https://doi.org/10.1007/s12610-010-0103-2

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Basic and Clinical Andrology

ISSN: 2051-4190