[Detection of Mycoplasma hominis and Ureaplasma urealyticum in patients with leukospermia]

Cytological and microbiological tests were applied to urethral and prostate secretion, initial, midstream, and postmassage urine, and ejaculate of 61 patients with granulocyte counts of approximately 2 million/ml sperm, using the working principle of four-tube testing. Findings included 8 cases of chronic urethritis (caused by Chlamydia trachomatis in 5 instances, Ureaplasma (U.) urealyticum in 2, and Mycoplasma (M.) hominis in 1), 11 cases of chronic bacterial prostatitis, most of them in concomitance with urinary tract infections, and another 11 cases of "abacterial" prostatitis caused by mycoplasma (U. urealyticum in 10 cases, M. hominis in 1). No pathogens at all were recordable from 31 patients, among these 22 without leucocyte proliferation in urethral and prostate secretion nor in urine sediments. While no positive cytological findings were recordable from controls, significant germ counts of U. urealyticum were exhibited by 4 probands. The above findings are discussed together with their problematic interpretation.