Journal of Surgery (ISSN: 2575-9760)

brief report

Male Infertility in a Developing Community

Wilson I. B.Onuigbo*

Department of Pathology, Medical Foundation & Clinic,Enugu 400001, Nigeria

*Corresponding author: Wilson I. B.Onuigbo, Department of Pathology, Medical Foundation & Clinic, 8 Nsukka Lane, P. O. Box 1792, Enugu 400001, Enugu State, Nigeria. Tel: +2348037208680;

Received Date: 16October, 2017; Accepted Date: 07 November, 2017; Published Date: 14 November, 2017

1.      Abstract

Owing to the worldwide problem of male infertility, the author investigated it. Note was taken of papers published in from several countries. It was concluded that the Nigerian slant is that males in their 30s sought the answer to their infertility. All showed non-functioning tubules.

2.      Keywords: Testis, infertility, biopsy, age, tubular lesions

1.      Introduction

Male infertility is a worldwide problem. Thus, there is evidence of it from several countries as diverse as Japan,1 UK,2Brazil,3Germany,4Egypt,5 and USA.6,7In order to investigate it from Nigeria, help was received from a Birmingham (UK) group which stipulated that the establishment of a histopathology data pool facilitates epidemiological analysis.8 Therefore, let me use the one established at Enugu for the Igbo ethnic group in South Eastern Nigeria.9It is to be noted that this is part of a resent series concerning such parts of the body as inflammatory breast carcinoma,10thyroid epidermal cyst11and neurofibroma in infancy.12

2.      Materials and Metho

From 1970, the author was the pioneer pathologist in the Regional Laboratory established at Enugu by the Government. All results were stored personally. They were analyzed by the author as to male infertility. Accordingly, the clinical or other investigations are missing in the series. The questions asked and answered are in respect of cases submitted with epidemiologic data such as age, sex, and complaints. 

3.      Results

4.      Discussion

Undoubtedly, male infertility was heralded strongly in UK thus: “It is important on any qualitative research that gives voices to male perspectives and concern.”2 In this context, the above Table shows that concern about sterility was concentrated among the 30 to 36 age group! In like manners, the pathological processes were limited to tabular dysfunction. In particular, inflammation was absent, although tuberculosis of this organ was published elsewhere.13-15Perhaps, as has been queried in Japan,1 there is a genetic predisposition to the condition. A glance at the initials demonstrates that family names did not show up.

Incidentally, smoking of cigarette has been queried.5There was no evidence incriminating smoking in this community.


Table 1.Epidemiological data on infertile testes. 





Duration (yrs)






Tubular hyalinization





Tubular hypoplasia





Tubular sclerosis





Tubular sclerosis





Tubular fibrosis and sclerosis





Tubular sclerosis





Tubular hypoplasia, hyelminthiasis





Tubular hypoplasia

1.       Miyamoto R, Tsujimura A, Miyagawa Y, et al. Male infertility and its causes in human. Advances in Urology, Volume 2012(2012), Article ID 384520. 7 pages.

2.       Hanna E, Gough B. Experiencing male infertility: A review or the qualitative research literature. SAGE Open, 2015; 1-9.

3.       Hamada A, Estevesi SC, Nizza M, Agarwal A. Unexplained male infertility: Diagnosis and management. International Brazil Journal of Urology, 2012; 38(5): 576-594.

4.       Wischmann T, Thorn P. (Male) infertility: What does it mean to men? New evidence from quantitative and qualitative studies. Reproductive Biomedicine, 2013; 27(3): 236-243.

5.       Mostafa T. Cigarette smoking and male infertility. Journal of Advanced Research, 2010; 1(3): 179-186.

6.       Agarwal A, Mulgund A, Hamada A, Chyatte MR. A unique view on male infertility around the globe. Reproductive Biology and Endocrinology, 2015; 13:37.

7.       Porche DJ. Male infertility: Diagnosis and treatment. Journal for Nurse Practitioners, 1006; 2(5): 298-299.

8.       Macartney JC, Rollaston TP, Codling BW. Use of a histopathology data pool for epidemiological analysis. Journal of Clinical Pathology 1980; 33: 351-353.

9.       Basden GT. Niger Ibos. Lond: Cass, 1966.

10.    Onuigbo WIB. Inflammatory breast carcinoma in a developing community. International Journal of Cell Science & Molecular Biology, 2017; 2(5): IJCSMB.MS.ID.555596.

11.    Onuigbo WIB. Thyroid epidermal cysts in a developing community. MOJ Autoimmune Diseases, 2017, 2(2): 00015.

12.    Onuigbo WIB. The epidemiology of neurofibroma in infancy and childhood among Nigerian Igbos. Journal of General Practice, 2017; 5:1. DOI: 10.4172/2329-9126.1000282.

13.    Onuigbo WIB. Tuberculous peripheral lymphadenitis in the Igbos of Nigeria. British Journal of Surgery, 1975; 62:323-325.

14.    Onuigbo WIB. Genital tuberculosis and reproductive function. Journal of Reproductive Medicine, 1978; 21:249-250.

15.    Onuigbo WIB. Testicular tuberculosis among the Igbos of Nigeria. EC Pulmonology and Respiratory Medicine, 2017; 5.3 (2017): 146-148.