ABSTRACT

Aim: To determine the frequency of clinical urogenital anomalies responsible for primary male infertility presenting in infertility clinic.

Study design: Descriptive cross sectional study.

Place and duration: Department of Urology, Gajju Khan Medical College, Swabi from 1^st July 2019 to 31^st December 2019.

Methods: One hundred and eighty six patients who are selected between age groups 15-50 years. All patients meeting the inclusion criteria were included in the study through OPD. The purpose and benefits of the study was explained to the patients and a written informed consent was obtained. All the patients were worked up with complete history, clinical examination and investigations to rule out confounders and bias in the study results. All the follow ups were done by the researcher himself and all the above mentioned information including name, age and gender address was recorded.

Results: Minimum age of patient was 17 years and maximum age was 50 years. Mean age was 35±4.5 years. Age group 21-30 years contained highest no of patients, which was 71 (38.17%) and second most frequent group was 31-40 years which contains 55 (29.5%) patients. Most frequent anomaly was varicocele, which was present in 45 patients, which was 24% of total. Second anomaly was hydrocele which was found in 26 (14%) patients and the least anomaly was hypogonadism found in 9 (5%) patient.

Conclusion: Among urogenital anomalies with which patients present to infertility clinics, varicocele was the most common cause, however further studies should be done on larger scale to see the relation between these anomalies and infertility. Studies should also be done on genetic and hormonal factors, which are the most frequent cause.