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Because some studies have suggested an association between paternal subfertility and hypospadias in male offspring, Dutch investigators conducted a case-control study of 64 fathers of boys with hypospadias and 349 partners of pregnant women recruited from the general population.
Fathers of boys with hypospadias had significantly lower sperm concentrations (54 million/mL vs. 81 million/mL) and total sperm counts (222 million/mL vs. 326 million/mL) than did controls. Moreover, 11 of the 64 case fathers had disorders of the urogenital system (hypospadias, cryptorchidism, and testicular cancer), whereas only 16 of the 349 presumably normal fertile men had one of these disorders. Among fathers of boys with hypospadias, 16% had received treatment …