Sperm quality in men with chronicabacterial prostatovesiculitis verified by rectal ultrasonography

Christiansen, Einar; Tollefsrud, A.; Purvis, K.

doi:10.1016/0090-4295(91)80175-7

Cited by 53 publications

(31 citation statements)

References 12 publications

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“…It is suggested that pyospermia, leukocytospermia, and epididymitis may be markers of an underlying chronic prostatitis [23][24][25][26]. The evidence for this association, however, is inconclusive and should be investigated further.…”

Section: Reproductive Tract Infectionsmentioning

confidence: 97%

Epidemiology of Prostatitis

Roberts

Jacobsen

2000

Curr Urol Rep

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Prostatitis is the third most important condition of the prostate. Problems in the diagnosis and classification of this condition, however, have hindered epidemiologic research. Consequently, our understanding of the incidence of prostatitis and factors that increase its probability is limited. Recent studies suggest that the prevalence of prostatitis is 5% to 9% among unselected men in the community. Based on estimates from national data, approximately 2 million men in the United States seek treatment for prostatitis each year. A number of recent studies suggest that genetic, behavioral, and environmental factors; age; inflammatory mediators; and oxidative stress may be risk factors for prostatitis. However, findings from most of these studies may at best be considered preliminary because of problems with small sample sizes or lack of generalizability. Nonetheless, these studies suggest hypotheses that should be tested in well-designed population-based studies.

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Section: Reproductive Tract Infectionsmentioning

confidence: 97%

Epidemiology of Prostatitis

Roberts

Jacobsen

2000

Curr Urol Rep

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“…In the fertility literature, diagnosis of "prostatitis," "prostato-seminal vesiculitis," or "male accessory gland infection" depends only on SFA findings, rather than symptoms or physical findings [12][13][14][15][16][17]. Although seminal leukocytes may come from many lower urogenital sites (such as the urethra) or samples (such as EPS or VB3), few investigators have evaluated these scenarios.…”

Section: Discussionmentioning

confidence: 99%

The NIH consensus concept of chronic prostatitis/chronic pelvic pain syndrome compared with traditional concepts of nonbacterial prostatitis and prostatodynia

et al. 2002

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The new National Institutes of Health (NIH) consensus classification identifies chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) based on the presence or absence of leukocytes in expressed prostatic secretions (EPS), postprostatic massage urine (VB3), or seminal fluid analysis. The purpose of this review is to determine the effect of the new classification on the proportion of symptomatic patients diagnosed with inflammation. We compare and contrast the new consensus classification with the traditional classification of prostatitis syndromes, then review how these changes effect patient classification in our clinical practice. Thorough clinical and microbiologic examination of 140 patients attending the University of Washington Prostatitis Clinic included evaluation of first void urine, mid-stream urine, EPS, VB3, and semen specimens. Inflammation was documented in 111 (26%) of 420 samples including 39 EPS samples, 32 VB3 samples, and 40 SFA specimens. Of the 140 patients, 73 (52%) had inflammatory CP/CPPS according to the NIH consensus criteria, but only 39 (28%) had nonbacterial prostatitis according to traditional EPS criteria (P < 0.001). The new NIH consensus concept of inflammatory CP/CPPS includes almost twice as many patients as the traditional category of nonbacterial prostatitis.

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“…The study showed that patients in the prostatitis group had an increased incidence of disturbed sperm quality and azoospermia, though some were normospermic. Not all patients in the prostatitis group had leukospermia and the degree of the leukospermia could not predict the extent of the disturbance in semen quality [76]. Psychological stress is common in patients with prostatitis, with 43 % of men with symptomatic prostatitis complaining of erectile dysfunction and 24 % reporting low libido [77], thus impacting further the ability to conceive.…”

Section: Prostatitismentioning

confidence: 98%