Results of the First Testicular Biopsies Performed in Abidjan for the Management of Male Infertility

Background: Evaluation of the male partner is essential in the management of couples with infertility. Testicular biopsy is sometimes required, especially in cases of peripheral azoospermia. The aim of this study was to report the results of testicular biopsy as a means of diagnosis and treatment of azoospermia at Treichville
University Hospital.

Method: We conducted a cross-sectional study with retrospective data collection over 3 years, from January 2020 to March 2023. We included all patients who consulted for infertility with spermograms and hormonal tests (FSH, Testosterone) showing peripheral azoospermia. The variables studied were: socio-demographic variables; clinical variables and paraclinical variables.

Results: A total of 11 cases were included in the study. The mean age of our study was 40 years with a standard deviation of 9.26. The mean age for the duration of the parental project was 8 years, with a standard deviation of 6.2 years. 54.5% of our indications were azoospermia + in vitro fertilisation, compared with 45.5% for
azoospermia. The sperm population was rare in 54.5% and absent (sterility) in 27.3%.

Conclusion: Testicular biopsy continues to play an important role in the diagnosis of peripheral azoospermia and is often the starting point for AMP techniques.

Keywords: Biopsy, Infertility, Spermogram, Testicular.