A Clinical Observation on Male Sterility

Kim, Hyung Woo; Suh, Sung Taik

Abstract

In order to grasp the real status of male sterility of the Koreans, clinical observation, semen analysis, and testicular biopsy were conducted on 257 cases. the study was performed in the Department of Urology, Kyungpook National University School of Medicine during the period from April 1963 to March 1968 for5 years. 1) The 257 cases complained of sterility occupied 4.3% of the total number of outpatients, 5927. visited during the observation period. 2) The age range of the cases applied was from 55, maximum, to 21. minimum, with the category of 26 to 35 occupying 2/3 of the whole. 3) The majority of the cases were in the 2nd to 5th year of their marriages 10.8%. 4) Cities were found to produce more of such cases than the country. and no specific relationship was revealed to be connected with patient's occupations. 5) Tuberculous diseases weremore prevalent in the past histories of those involved, and gonorrhea and mumps showed a decreasing tendency. 6) 141 cases (55.2%) produced 2 to 4ml of semen amount and 40 cases, less than 1.0ml. 7) 90 cases (35.O%) were found have azoospermia and 122 cases (47.7%) had more than 50 X 10(6) sperms, 8) 106 cases (63.5%) had higher than 60% of active sperm while 16 cases showed to have less than 20%. 9) Findings of testicular biopsies were conducted on 35 cases with azoospermia of oligospermia: Germinal cell aplasia-17 cases (48.6%); spermatogenic arrest-10 cases (28.6%); hypospermatogenesis-6 cases (17.1%); normal-2 cases.