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[Spermatological disorders in patients with postmumps orchitis].
Akusherstvo I Ginekologiia
|January 1, 1990
Summary
Postparotitic orchitis significantly impairs male fertility. Unilateral cases show reduced sperm parameters, while bilateral cases lead to azoospermia and definitive sterility.
Area of Science:
- Andrology
- Reproductive Medicine
- Urology
Background:
- Postparotitic orchitis, an inflammation of the testes following mumps, is a known cause of male infertility.
- The impact of orchitis on sperm parameters can vary based on the laterality and age of onset.
Purpose of the Study:
- To investigate the effects of postparotitic orchitis on spermatozoa parameters in affected males.
- To compare the impact of unilateral versus bilateral orchitis and age of onset on fertility outcomes.
Main Methods:
- Semen analysis was performed on 27 patients with a history of postparotitic orchitis.
- Patients were categorized based on the laterality of testicular involvement (unilateral/bilateral) and age of orchitis onset (before/after 10 years).
Main Results:
- Unilateral orchitis was associated with reduced sperm count (32:12 ratio), motility (39:10 ratio), and velocity (8:5 ratio) compared to controls, with variations based on age of onset.
- Bilateral postparotitic orchitis resulted in azoospermia and definitive sterility in all affected patients, irrespective of age of onset.
Conclusions:
- Postparotitic orchitis, particularly when bilateral, severely compromises male fertility.
- Early diagnosis and management may be crucial for preserving fertility in cases of unilateral orchitis.