Tuberculosis and infertility in men.

In 50 patients, all under 40, a diagnosis of urinary tuberculosis and a spermiogram have been made in order to see if there was any cytomorphological or biochemical alteration. We have divided them into two groups: the first one including the patients showing clinical alterations of the genital structures, and the second one including those for whom it had not been possible to demonstrate any clinical symptomatology, e.g. at the external genitalia. The modification of the spermiogram in accordance with the evolution of the urinary tuberculosis lesion and the specific treatment employed has also been evaluated. All patients with clinical alterations in the genital structures showed alterations in the cytomorphological and/or in the biochemical study. 75% of the patients without genital lesions showed oligoasthenozoospermia. We have not been able to observe any improvement whatsoever in the spermiogram in spite of the treatment established.