Profil épidémiologique et clinique de l’infertilité masculine à l’hôpital général de Grand-Yoff, Sénégal: à propos de 492 cas
Tóm tắt
Décrire le profil général de l’infertilité masculine, au Sénégal, en milieu hospitalier. Il s’agit d’une étude rétrospective, descriptive, portant sur 492 dossiers de patients vus en consultation pour infertilité conjugale du couple entre 2000 et 2004. L’ensemble des paramètres étudiés portait sur les éléments cliniques et les explorations paracliniques. L’âge moyen des patients était de 39 ans. La durée d’évolution de l’infertilité était en moyenne de six ans. L’infertilité était de type primaire dans 66,5 % des cas. Sur le plan clinique, la varicocèle était l’anomalie la plus souvent retrouvée, soit dans 64,6 % des cas. Le spermogramme était perturbé dans 84,3 % des cas. Les principales perturbations étaient une oligospermie inférieure à 5 millions de spermatozoïes/ml (35,6 %) et une azoospermie dans 28,6 % des cas. Le profil général de l’infertilité est polymorphe. L’exploration est limitée par la non-disponibilité de la partenaire et l’absence de coordination entre gynécologues et andrologues. L’amélioration de la prise en charge de l’infertilité doit passer par de nouvelles voies de recherche, notamment génétiques et immunologiques, afin d’identifier les causes habituellement cachées de l’infertilité. Elle doit aussi reposer sur une bonne collaboration entre praticiens de santé de la reproduction et la mise en place d’unités d’assistance médicale à la procréation (AMP).
Tài liệu tham khảo
citation_journal_title=J Med Ethics; citation_title=Mummy was a fetus: motherhood and fetal ovarian transplantation; citation_author=J.M. Berkowitz; citation_volume=21; citation_publication_date=1995; citation_pages=298-304; citation_doi=10.1136/jme.21.5.298; citation_id=CR1
citation_journal_title=Population; citation_title=Stérilité et hypofertilité: du silence à l’impatience; citation_author=H. Leridon; citation_volume=20; citation_publication_date=1991; citation_pages=227-248; citation_id=CR2
citation_title=Quick Reference to OB-GYN Procedures; citation_publication_date=1990; citation_id=CR3; citation_author=H.R.K. Barber; citation_author=D.H. Fields; citation_author=S.A. Kaufman; citation_publisher=Lippincott
citation_title=Manual for the standardised investigation and diagnostis of the infertile couple; citation_publication_date=2000; citation_id=CR4; citation_publisher=Cambridge university press
citation_journal_title=N Engl J Med; citation_title=Decline in semen quality among fertile men in Paris during the past 20 years; citation_author=J. Auger, J.M. Kunstmann, F. Czyglik, P. Jouannet; citation_volume=332; citation_publication_date=1995; citation_pages=281-285; citation_doi=10.1056/NEJM199502023320501; citation_id=CR5
citation_journal_title=Spectra biologie; citation_title=Dosage des gonadotrophines FSH et LH par la méthode Access évaluation; citation_author=M. Pasquet-Février, I. Colligon, null Spentchian; citation_volume=2; citation_publication_date=1995; citation_pages=3-10; citation_id=CR6
citation_journal_title=Fertil Steril; citation_title=Characterization of a computerized semen analysis system; citation_author=N.G. Pedigo, M.W. Vernon, T.E. Curry; citation_volume=52; citation_publication_date=1989; citation_pages=659-666; citation_id=CR7
citation_journal_title=Pediatrics; citation_title=The decline in US teen pregnancy rate, 1990–1995; citation_author=R.B. Kaufmann, A.M. Spitz, L.T. Strauss; citation_volume=102; citation_publication_date=1998; citation_pages=1141-1147; citation_doi=10.1542/peds.102.5.1141; citation_id=CR8
citation_journal_title=Popul Trends; citation_title=Changes in fertility and family sizes in Europe; citation_author=D. Pearce, G. Cantisani, A. Laihonen; citation_volume=95; citation_publication_date=1999; citation_pages=33-40; citation_id=CR9
citation_journal_title=J Obstet Gynaecol; citation_title=High prevalence of male infertility in southeastern Nigeria; citation_author=J.I. Ikechebelu, J.I. Adinma, E.F. Orie, S.O. Ikegwuonu; citation_volume=23; citation_publication_date=2003; citation_pages=657-659; citation_doi=10.1080/01443610310001604475; citation_id=CR10
citation_journal_title=J Biosoc Sci; citation_title=Polygyny and fertility differentials among the Yoruba of western Nigeria; citation_author=J. Ahmed; citation_volume=18; citation_publication_date=1986; citation_pages=63-73; citation_id=CR11
citation_journal_title=Int J Androl; citation_title=Effect of male occupational heat exposure on time to pregnancy; citation_author=P. Thonneau, B. Ducot, L. Bujan; citation_volume=20; citation_publication_date=1997; citation_pages=274-278; citation_doi=10.1046/j.1365-2605.1997.d01-303.x; citation_id=CR12
citation_journal_title=Fertil Steril; citation_title=Semen characteristics as a function of age in 833 fertile men; citation_author=D. Schwartz, M.J. Mayaux, A. Spira; citation_volume=39; citation_publication_date=1983; citation_pages=530-535; citation_id=CR13
citation_journal_title=Hum Reprod; citation_title=Deterioration of sperm quality in young healthy Belgian men; citation_author=K. Waeleghem, N. Clercq, L. Vermeulen; citation_volume=11; citation_publication_date=1996; citation_pages=325-329; citation_doi=10.1093/HUMREP/11.2.325; citation_id=CR14
citation_journal_title=Fertil Steril; citation_title=Fertility of men with and without varicocele; citation_author=J.H. Aafjes, J.C. Vijver; citation_volume=43; citation_publication_date=1985; citation_pages=901-904; citation_id=CR15
citation_journal_title=Urology; citation_title=Varicocelectomy: 986 cases in a twelve-year study; citation_author=L. Dubin, R.D. Amelar; citation_volume=10; citation_publication_date=1977; citation_pages=446-449; citation_doi=10.1016/0090-4295(77)90132-7; citation_id=CR16
citation_journal_title=J Urol; citation_title=Ipsilateral testicular hypotrophy is associated with decreased sperm counts in infertile men with varicoceles; citation_author=M. Sigman, J.P. Jarrow; citation_volume=158; citation_publication_date=1997; citation_pages=605-607; citation_doi=10.1016/S0022-5347(01)64567-1; citation_id=CR17
citation_journal_title=Br J Urol; citation_title=Correlation of chromosome, histological endocrine and clinical studies; citation_author=W.F. Hendry, P.E. Polani, R.C. Pugh; citation_volume=47; citation_publication_date=1975; citation_pages=899-908; citation_doi=10.1111/j.1464-410X.1975.tb04074.x; citation_id=CR18
citation_journal_title=Hum Genet; citation_title=Chromosome studies in 496 infertile males with a sperm count below 10 million/ml; citation_author=A.E. Reteif, J.A. Zyl, R. Menkveld; citation_volume=66; citation_publication_date=1984; citation_pages=162-164; citation_doi=10.1007/BF00286592; citation_id=CR19
citation_journal_title=J Androl; citation_title=Cytogenetic investigations of infertile men with low sperm counts: a 25-year experience; citation_author=M.C. Vincent, M. Daudin, M.P. Mas; citation_volume=23; citation_publication_date=2002; citation_pages=18-22; citation_id=CR20
citation_journal_title=J Urol; citation_title=Evaluation of the azoospermic patient; citation_author=J.P. Jarrow, M.A. Espeland, L.I. Lipshultz; citation_volume=142; citation_publication_date=1989; citation_pages=62-65; citation_id=CR21
citation_journal_title=J Urol; citation_title=Transrectal prostate ultrasonography as a diagnostic and therapeutic aid for ejaculatory duct obstruction; citation_author=A.M. Belker, G.S. Steinbock; citation_volume=144; citation_publication_date=1990; citation_pages=356-358; citation_id=CR22
citation_journal_title=J Androl; citation_title=Assessment of Chlamydia trachomatis, Ureaplasma urealyticum, Ureaplasma parvum, Mycoplasma hominis, and Mycoplasma genitalium in semen and first void urine specimens of asymptomatic male partners of infertile couples; citation_author=R. Gdoura, W. Kchaou, L. Ammar-Keskes; citation_volume=29; citation_publication_date=2008; citation_pages=198-206; citation_doi=10.2164/jandrol.107.003566; citation_id=CR23