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Urogenital inflammations: aetiology, diagnosis and their correlation with varicocele and male infertility
F Gattuccio1, D Di Trapani, C Romano
1Dipartimento di scienze chirurgiche ed anatomiche. Università di Palermo.
Abstract:
The urogenital inflammations may be considered as "apparatus pathology". We analyze only inflammatory diseases of the prostate gland, because it may be extensible to the entire male genital apparatus. Among aethiological agents of infections an important role belongs to Chlamydia and Mycoplasma; we describe various methods for diagnosis of the Chlamydia and Mycoplasma infections. When objective clinical findings are poor or absent (such in prostatosis and prostatodynia) the transrectal ultrasonography demonstrates characteristic pictures useful for diagnosis and follow-up. Our clinical data and anatomo-pathological remarks suggest a real correlation between varicocele and genital inflammations (26%). This association doesn't represent the only cause of infertility, but frequently reduces the probability of male fertility.
Insights
Inflammatory diseases of the prostate gland, often caused by Chlamydia and Mycoplasma, can impact male fertility. Transrectal ultrasonography aids diagnosis, and varicocele is linked to genital inflammation, reducing fertility chances.
Area of Science:
- Urology
- Andrology
- Infectious Diseases
Background:
- Urogenital inflammations can affect the entire male genital apparatus.
- Prostate gland inflammation is a key focus due to its potential to impact the whole system.
- Chlamydia and Mycoplasma are significant etiological agents in these infections.
Purpose of the Study:
- To analyze inflammatory diseases of the prostate gland.
- To describe diagnostic methods for Chlamydia and Mycoplasma infections.
- To investigate the correlation between varicocele and genital inflammation in relation to male infertility.
Main Methods:
- Review of etiological agents and diagnostic methods for Chlamydia and Mycoplasma.
- Utilization of transrectal ultrasonography for diagnosis in cases with poor clinical findings (prostatosis, prostatodynia).
- Clinical data analysis and anatomo-pathological observations.
Main Results:
- Diagnostic methods for Chlamydia and Mycoplasma infections are detailed.
- Transrectal ultrasonography provides characteristic findings for diagnosis and follow-up.
- A 26% correlation was observed between varicocele and genital inflammations.
Conclusions:
- Genital inflammation, particularly of the prostate, is a significant concern in male reproductive health.
- Varicocele is frequently associated with genital inflammation, contributing to reduced male fertility.
- Effective diagnosis and management of these conditions are crucial for preserving fertility.
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