Abstract des Autors

In literature epidemiologic studies correlating exercise and andrological diseases are rare. For this reason we evaluated 1236 normal male subjects ranging 8-30 years old and undergoing the routine physical examination necessary to obtain the obligatory certificate for sport eligibility from the Medical Sports Institute of Rome (FMSI-CONI). A basic physical evaluation, including a detailed medical history and clinical examination and, when necessary, laboratory investigations, was performed. The number of subjects reporting previous andrological pathologies was 26% with the following subdivision: surgery (varicocele, cryptorchidism, etc.) (9%), cryptorchidism (8%), varicocele (5%), genital infections (2%), testicular torsion (1%), trauma (0.5%), retractile testis (0.5%). Clinical examination showed varicocele (37.9%), testicular hypotrophy and varicocele (16.7%), epididymal cyst (3.9%), gynecomastia (2.3%). Varicocele was observed mainly in puberty (13-15 years old) and young adults (19-23 years old). It was monolateral in 91.8% and bilateral in 8.2%, I grade in 74.3%, II grade in 19.6%, III grade in 6.1% of affected subjects. The results of our study underline the absolute necessary for a detailed andrological medical history and clinical examination in all subjects undergoing physical examination for sport eligibility, in order to obtain an early diagnosis of andrological diseases. Further studies are in progress to correlate the type of sports and the different andrological diseases. Verf.-Referat