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Azoospermias au Sénégal: quelle prise en charge à l’heure de l’ICSI?

Azoospermia in Senegal: management in the age of ICSI?

Andrologie volume 18, pages 206–209 (2008)Cite this article

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Objectif

Il s’agit de déterminer la place de l’azoospermie parmi les étiologies de l’infertilité au Sénégal.

Matériel et méthodes

Nous avons répertoriés, parmi 492 dossiers de patients hypofertiles 141 cas d’azoospermie. Nous avons étudié le profil clinique, paraclinique et évolutif après prise en charge.

Résultats

L’âge moyen était de 40,6 ans. Une atrophie testiculaire était retrouvée dans 35% des cas. A la biopsie testiculaire 72% de cas d’azoospermie sécrétrice étaient confirmés. Une varicoc#x00E8;le était associée dans 56% des cas. La cure de varicoc#x00E8;le effectuée dans 32,6% des cas a permis d’obtenir une amélioration des paramètres du spermogramme dans 28% des cas.

Abstract

Azoospermia is one of the most serious causes of couple infertility, has a very high prevalence among all causes of infertility and is due to multiple aetiologies.

Objective

to determine the place of azoospermia among the various causes of infertility in Senegal.

Material and methods

141 cases of azoospermia were identified from a series of 492 infertile patients. The clinical profile, laboratory results and outcome after management were studied.

Results

The mean age was 40.6 years. Testicular atrophy was detected in 34.75% of cases. Azoospermia was secretory in 71.69% of cases. A varicocele was associated in 56% of cases. Varicocele repair was performed in 32.62% and allowed an improvement of sperm parameters in 28.3% of cases. Testicular biopsy, performed in 53 cases, demonstrated 2 cases of Sertoli cell syndrome, 3 cases of arrested maturation, 8 cases of hypo spermatogenesis, and 25 cases of seminiferous tubules. Forty nine cases of azoospermia were associated with normal FSH levels. Only one patient was treated by assisted reproductive technologies (ART).

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Authors and Affiliations

  1. Service urologie, Hôpital général grand Yoff, BP3270, Dakar, Sénégal

    Médina Ndoye, Lamine Niang, Issa Labou, Mohamed Jalloh, Racine Kane, Jeanne Joséphine Diaw, Ablaye Ndiaye & Sérigne Magueye Gueye

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  1. Médina Ndoye
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  2. Lamine Niang
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  3. Issa Labou
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  4. Mohamed Jalloh
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  5. Racine Kane
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  6. Jeanne Joséphine Diaw
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  7. Ablaye Ndiaye
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  8. Sérigne Magueye Gueye
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Correspondence to Lamine Niang.

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Ndoye, M., Niang, L., Labou, I. et al. Azoospermias au Sénégal: quelle prise en charge à l’heure de l’ICSI?. Androl. 18, 206–209 (2008). https://doi.org/10.1007/BF03040756

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  • DOI: https://doi.org/10.1007/BF03040756

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Basic and Clinical Andrology

ISSN: 2051-4190