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Introduction.
RÉSUMÉ
Introduction. L'infection uro-génitale à Chlamydia trachomatis est fréquente et responsable de complications graves dont l’infertilité. Notre objectif était d’évaluer la fréquence de l’infection à Chlamydia trachomatis et son retentissement sur la fertilité masculine. Matériel et méthodes. Notre étude était prospective de type descriptif. Elle s’est étendue sur une période de 12 mois allant du 02 janvier au 31 décembre 2019. Elle a été effectuée au service d’urologie andrologie de l’hôpital national Ignace. Elle a porté sur tous les patients qui ont eu une sérologie à Chlamydia trachomatis positive. Résultats. Elle était positive chez 121 patients soit 25,80% sur 469 patients. L’âge moyen était de 41,61 ans (17 - 67ans). Le motif de consultation dominant était les troubles mictionnels dans 41,67 % (n=75) des cas, suivi du désir d’enfant dans 24,44% (n=44). L’hypofertilité a été diagnostiquée dans 17,90% des cas (n=39). L’hypofertilité était primaire chez 25 patients (64,10%) et secondaire chez 14 patients (35,90%). Le spermogramme a été réalisé chez 49 patients (40,50%) et parmi eux, 20 (40, 82%) avaient une azoospermie, 13 (26,54%) avaient une oligo-asthénospermie. Les complications de l’infection à Chlamydiae les plus fréquentes étaient les urétro-prostatites chroniques et l’hypofertilité avec respectivement 24.77%, 23.85% et 17.90%. Le traitement reposait sur les cyclines chez 85 patients (60,3%). Conclusion. La fréquence de l’infection à Chlamydia est élevée chez les hommes infertiles. Sa prévention repose sur la lutte contre les IST. Cela réduirait le risque de l’infertilité du couple
ABSTRACT
Introduction. Urogenital Chlamydia trachomatis infection is common and responsible for serious complications including infertility. Our aim was to assess the frequency of Chlamydia trachomatis infection and its impact on male fertility. Material and methods. Our study was prospective and descriptive in nature. It was carried out over a period of 12 months from 02 January to 31 December 2019. It was carried out in the urology andrology department of the Ignatius National Hospital. It included all patients who had a positive serology for Chlamydia trachomatis. Results. It was positive in 121 patients, i.e. 25.80% out of 469 patients. The average age was 41.61 years (17 - 67 years). The dominant reason for consultation was urinary disorders in 41.67% (n=75) of cases, followed by desire for a child in 24.44% (n=44). Hypofertility was diagnosed in 17.90% of cases (n=39). Hypofertility was primary in 25 patients (64.10%) and secondary in 14 patients (35.90%). The spermogram was performed in 49 patients (40.50%) and of these, 20 (40.82%) had azoospermia, 13 (26.54%) had oligo-asthenospermia. The most frequent complications of Chlamydia infection were chronic urethro-prostatitis and hypofertility with 24.77%, 23.85% and 17.90% respectively. Treatment was cyclin-based in 85 patients (60.3%). Conclusion. The frequency of Chlamydia infection is high in infertile men. Its prevention is based on the fight against STIs. This would reduce the couple's risk of infertility.


 





Keywords

Infection, Chlamydia trachomatis, Infertility, Conakry Infection, Chlamydiae trachomatis, Infertilité, Conakry

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Mamadou , B. ., Bah , M. B., Barry M, M. M., Diallo, T. M. O., Bah , . M. D., Diallo , T. O., Kanté, D., Cissé , D., Bah, I., Diallo , A. B., & Bah , O. R. (2021). Infection à Chlamydiae Trachomatis en Milieu Uroandrologique à l’Hôpital Ignace Deen : Fréquence et Retentissement sur la Fertilité: Chlamydiae trachomatis infection in an uroandrology practice at Ignace Deen hospital: frequency and impact on fertility. HEALTH SCIENCES AND DISEASE, 23(1), 5. https://doi.org/10.5281/hsd.v23i1.3239
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