Varicocele and Spermogram Abnormality: about 264 Cases at the Fertilia Medical Clinic in Bamako

Aims: To determine the impact of varicocele on the result of the spermogram in a group of hypo-fertile or infertile men.Patients and Method: This was a cross-sectional, descriptive study concerning 264 men collected between February 2020 and March 2022 at the Fertilia medical clinic in Bamako.The study population consisted of consenting male subjects presenting for infertility.All of our patients had already done a spermogram, they then benefited from a scrotal Doppler ultrasound.The scrotal echo-doppler was completed by an abdominal and pelvic echography in search of a possible etiology, in particular a renal cancer, a thrombosis of the renal or spermatic vein, a retroperitoneal mass or a nutcraker syndrome.Testicular volume was measured on ultrasound according to Lambert's formula (length × width × height × 0.71).A volume = 16 ml was considered normal.Results: 264 patients were recruited in ours.The average age was 33 years with extremes ranging from 25 to 65 years.149 patients or 56.44% were between 30 and 45 years old.