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.

Acta Europaea Fertilitatis
|July 1, 1988
PubMed

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.

Related Concept Videos

Infertility in Males01:23

Infertility in Males

Male infertility affects millions of couples worldwide, arising from various factors that impact different stages of the reproductive process. An endocrine imbalance resulting from conditions like hypogonadism, Klinefelter syndrome, or pituitary disorders can disrupt hormone levels and reduce sperm production. Testicular defects, such as tumors, cryptorchidism, atrophic testes, abnormal sperm morphology, and low sperm count or motility, may arise due to genetic factors, structural...
Disorders of the Male Reproductive System01:20

Disorders of the Male Reproductive System

Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra. Symptoms...
Nursing Assessment of the Genitourinary System I: Health History01:21

Nursing Assessment of the Genitourinary System I: Health History

The genitourinary system is critical to maintaining fluid balance, waste elimination, and reproductive function. Nurses play a vital role in assessing this system, beginning with a thorough health history. This process involves gathering patient information, identifying risk factors, and recognizing symptoms of genitourinary disorders. Early detection is vital for timely interventions and management.1. Gathering Patient InformationA complete health history includes the patient’s personal,...
Urinary Tract Infection II: Pathophysiology01:25

Urinary Tract Infection II: Pathophysiology

The pathophysiology of urinary tract infections (UTIs) encompasses several progressive stages, beginning with bacterial colonization and culminating in potential systemic complications if untreated. UTIs are primarily initiated by bacteria, such as Escherichia coli, which often originate from the gastrointestinal tract and migrate to the urinary system through the periurethral area. This migration can occur via several routes, including improper hygiene practices, sexual activity, or...
Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations01:26

Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations

Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
Microbiota of the Urogenital Tract01:28

Microbiota of the Urogenital Tract

The human urogenital system, once thought to be sterile in healthy individuals, is now recognized as a complex microbial habitat. Advancements in molecular sequencing techniques have revealed that even in healthy adults, the kidneys and bladder harbor microbial populations similar to those found in the distal urethra, albeit in much lower abundance. These resident microorganisms, while generally innocuous, can become opportunistic pathogens under conditions that alter the urogenital...