Pathologic changes in testis and epididymis of infertile leprotic males.

Thirty-two cases of male infertility in patients having leprosy were studied. One case was oligospermic and the remaining 31 cases were azoospermic. Pathologic changes in the testis and epididymis are described and illustrated. An important observation was the presence of obstruction in the tail of the epididymis in five cases and this obstruction was undoubtedly the cause of sterility in these five cases as the head of the epididymis was full of sperm and testicular biopsy was more or less normal. In the remaining 27 cases, the cause of sterility was testicular affection with fibrosis and hyalinization of the seminiferous tubules in most of the cases.