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- Title
Clinical Diagnosis in Men Undergoing Infertility Investigation in a University Hospital.
- Authors
Pasqualotto, Fabio Firmbach; Pasqualotto, Eleonora Bedin; Sobreiro, Bernardo Passos; Hallak, Jorge; Medeiros, Fernanda; Lucon, Antônio Marmo
- Abstract
Introduction: It was the aim of this study to assess whether the changes in the diagnostic techniques and treatment modalities have altered the epidemiology of male factor infertility in the last decade. Material and Methods: From September 1999 to July 2003, 822 patients were evaluated for infertility in a University Hospital. We divided our infertility patients according to the clinical diagnosis. Results: Most of the patients presented with varicocele (n = 282, 34.3%), idiopathic infertility (n = 260, 31.6%), or had had seminal tract obstruction (n = 85, 10.34%). Least common but equally important causes found were mumps (n = 43, 5.23%), pyospermia (n = 37, 4.5%), systemic diseases (n = 36, 4.37%), testicular failure (n = 34, 4.13%), cryptorchidism (n = 14, 1.7%), ejaculatory dysfunction (n = 11, 1.3%), genetics (n = 9, 1.1%), endocrinopathies (n = 4, 0.5%), testicular cancer (n = 4, 0.5%), and testicular torsion (n = 3, 0.36%). Conclusions: Even with the changes in reproductive healthcare in the last years, varicocele and seminal tract obstruction remain the leading causes of male infertility. However, clinicians should not forget other treatable causes of male infertility such as pyospermia, systemic diseases, or testicular cancer. Copyright © 2006 S. Karger AG, Basel
- Subjects
MALE infertility; GENITAL diseases; SPERMATOZOA; VARICOCELE; VASOVASOSTOMY; VASECTOMY; HUMAN fertility
- Publication
Urologia Internationalis, 2006, Vol 76, Issue 2, p122
- ISSN
0042-1138
- Publication type
Article
- DOI
10.1159/000090873