Infertilité et hypogonadisme primaire acquis après herniorraphie inguinale bilatérale

Abstract

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. Pour citer cette revue : Androl. 20 (2010).Mots clés Infarctus testiculaire · Hypogonadisme primitif acquis · Atrophie testiculaire · Infertilité · Hernie inguinale 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. To cite this journal: Androl. 20 (2010).

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