Healthy youth is an asset and strength for economic
and social growth of any society. Developmental changes during puberty of
youngsters need proper guidance to avoid future physical, physiological and
psychological ailments. Bilateral Retractile Testis (BRT) is a health problem
if remains unnoticed till adolescence can lead to tribulations. BRT may affect
testicular parenchyma and spermatogenesis. Cremasteric muscles (muscles
attached with testes) pull the testes up into groin so it randomly moves up and
down and do not reside in its natural pouch always. It has been a controversial
issue in male infertility as retraction may affect infertility. Objective: To estimate the prevalence of male infertility among patients with Bilateral
Retractile Testis. Methodology: A total of 200 male
patients were enrolled after the power calculation, with different reproductive
health problems between the age of 18- 40 years during the year
2016 at Reproductive health clinic Jinnah Post Graduate Medical Center (JPMC),
Karachi. 25 male patients were reported with infertility and BRT. The data was
collected using self-developed questionnaire including outdoor patients’
physical check-up, manual testicular examination as size and shape were done.
Patient height, weight, blood pressure, their lifestyle, and dressing regarding
wearing tight jeans habits were asked. Semen analysis was carried out showing
abnormality in sperm count, motility or morphology and entered and analysed in
the SPSS version 10. Means and percentages were calculated. Result: Out of 200 male infertile patients, a total of 25 (12.5%) patients with a
diagnosis of BRT were found in the sample with the mean age of 29 years.
Moreover, it was identified that those having BRT also have low motility of the
sperms. Base
References
[1]
United Nations Population Fund (n.d.) Sexual & Reproductive Health. https://www.unfpa.org/sexual-reproductive-health#readmore-expand
[2]
World Health Organization (2021) International Youth Day 2021: Quality Data Crucial for Improving Adolescents’ Health and Well-Being in Countries across the World. World Health Organization, Geneva.
[3]
Dyer, S., Lombard, C. and Van der Spuy, Z. (2009) Psychological Distress among Men Suffering from Couple Infertility in South Africa: A Quantitative Assessment. Human Reproduction, 24, 2821-2826. https://doi.org/10.1093/humrep/dep278
[4]
Anderson, K.M., Costa, S.F., Sampaio, F.J.B. and Favorito, L.A. (2016) Do Retractile Testes Have Anatomical Anomalies? International Brazilian Journal of Urology, 42, 803-809. https://doi.org/10.1590/S1677-5538.IBJU.2015.0538
[5]
Sharma, A., Minhas, S., Dhillo, W.S. and Jayasena, C.N. (2021) Male Infertility Due to Testicular Disorders. The Journal of Clinical Endocrinology & Metabolism, 106, e442-e459. https://doi.org/10.1210/clinem/dgaa781
[6]
Nistal, M. and Paniagua, R. (2008) Non-Neoplastic Diseases of the Testis. In: Bostwick, D.G. and Cheng, L., Eds., Urologic Surgical Pathology, Mosby, Maryland Heights, 614-755. https://doi.org/10.1016/B978-0-323-01970-5.50014-2
[7]
Docimo, S.G., Silver, R.I. and Cromie, W. (2000) The Undescended Testicle: Diagnosis and Management. American Academy of Family Physicians, 62, 2037-2044, 2047-2048.
[8]
Bundhun, P.K., Janoo, G., Bhurtu, A., Teeluck, A.R., Zafooruddin, M., Soogund, S., Pursun, M. and Huang, F. (2019) Tobacco Smoking and Semen Quality in Infertile Males: A Systematic Review and Meta-Analysis. BMC Public Health, 19, Article No. 36. https://doi.org/10.1186/s12889-018-6319-3
[9]
Ilacqua, A., Izzo, G., Emerenziani, G.P., Baldari, C. and Aversa, A. (2018) Lifestyle and Fertility: The Influence of Stress and Quality Of Life on Male Fertility. Reproductive Biology and Endocrinology, 16, Article No. 115. https://doi.org/10.1186/s12958-018-0436-9
[10]
World Health Organization (2020, September 14) Infertility.
[11]
Dave, S. (2016) A Four-Month-Old Boy with Bilateral Undescended Testes. Canadian Medical Association Journal, 188, 1098-1099. https://doi.org/10.1503/cmaj.141015
[12]
Dadfar, M.R. (2007) Orchidopexy for Retractile Testes in Infertile Men: A Prospective Clinical Study. Urology Journal, 4, 164-168.
[13]
Hanerhoff, B.L. and Welliver, C. (2014) Does Early Orchidopexy Improve Fertility? Translational Andrology and Urology, 3, 370-376.
[14]
Boisen, K.A., Kaleva, M. and Main, K.M. (2004) Difference in Prevalence of Congenital Cryptorchidism in Infants between Two Nordic Countries. The Lancet, 363, 1264-1269. https://doi.org/10.1016/S0140-6736(04)15998-9
[15]
Caroppo, E., Niederberger, C., Elhanbly, S., Schoor, R., Ross, L. and D’Amato, G. (2005) Effect of Cryptorchidism and Retractile Testes on Male Factor Infertility: A Multicenter, Retrospective, Chart Review. Fertility and Sterility, 83, 1581-1584. https://doi.org/10.1016/j.fertnstert.2005.01.088
[16]
Caucci, M., Barbatelli, G. and Cinti, S. (1997) The Retractile Testis Can Be a Cause of Adult Infertility. Fertility and Sterility, 68, 1051-1058. https://doi.org/10.1016/S0015-0282(97)00410-X
[17]
Nistal, M. and Paniagua, R. (1984) Infertility in Adult Males with Retractile Testes. Fertility and Sterility, 41, 395-403. https://doi.org/10.1016/S0015-0282(16)47718-6
[18]
Goede, J., Voort-Doedens, L.M., Sijstermans, K. and Hack, W.W.M. (2011) The Volume of Retractile Testes. The Journal of Urology, 186, 2050-2055. https://doi.org/10.1016/j.juro.2011.07.020
[19]
Keys, C. and Heloury, Y. (2012) Retractile Testes: A Review of Current Literature. Journal of Pediatric Urology, 8, 2-6. https://doi.org/10.1016/j.jpurol.2011.03.016
[20]
Zahid, N., Saleem, S., Azam, I. and Moatter, T. (2015) Association of Obesity with Infertility among Pakistani Men: A Case Control Study. Open Journal of Epidemiology, 5, 204-215. https://doi.org/10.4236/ojepi.2015.53025
[21]
Jung, A. and Schill, W.B. (2000) Male Infertility. Current Life Style Could Be Responsible for Infertility. MMW-Fortschritte der Medizin, 142, 31-33.
[22]
Durairajanayagam, D. (2019) Lifestyle Causes of Male Infertility. Arab Journal of Urology, 16, 10-20. https://doi.org/10.1016/j.aju.2017.12.004
[23]
Jiang, D.D., Acevedo, A.M., Bayne, A., Austin, J.C. and Seideman, C.A. (2019) Factors Associated with Delay in Undescended Testis Referral. Journal of Pediatric Urology, 15, 380.el-380.e6. https://doi.org/10.1016/j.jpurol.2019.03.029
[24]
Ali, S., Sophie, R., Imam, A.M., Khan, F., Ali, S.F., Shaikh, A. and Hasnain, S.F. (2011) Knowledge, Perceptions and Myths Regarding Infertility among selected Adult Population in Pakistan: A Cross-Sectional Study. BMC Public Health, 11, Article No. 760. https://doi.org/10.1186/1471-2458-11-760
