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Roles of Ureaplasma Species in Idiopathic Chronic Prostatitis: A Case-Control Study

Heeyoon Park1, Gilho Lee2

  • 1Department of Urology, Dankook University College of Medicine, Cheonan, Korea.

The World Journal of Men'S Health
|February 26, 2019
PubMed
Abstract

Insights

Ureaplasma urealyticum (UU) may cause male urethritis, but Ureaplasma species in urine are not definitively linked to chronic prostatitis (CP). This study investigated Ureaplasma in genitourinary infections and their association with CP.

Area of Science:

  • Genitourinary microbiology
  • Urology
  • Infectious diseases

Background:

  • The clinical significance of Ureaplasma infections in genitourinary tracts remains debated due to inconsistent symptoms.
  • Ureaplasma urealyticum (UU) and Ureaplasma parvum (UP) are common inhabitants of the genitourinary tract.

Purpose of the Study:

  • To evaluate the presence of UU and UP in urine samples from men with and without chronic prostatitis (CP).
  • To examine the association between Ureaplasma species and the occurrence of CP.

Main Methods:

  • A case and control study involving 696 nonchlamydial, nongonococcal urine samples from men.
  • Ureaplasma biovars were identified using Sanger sequencing after amplifying urease gene regions.
  • Participants were categorized into non-inflammatory CP, inflammatory CP, and non-CP groups.

Main Results:

  • UU and UP were detected in 3.88% and 6.46% of samples, respectively.
  • UU infection was associated with increased white blood cell (WBC) counts in urine (p=0.005), suggesting a potential role in urethritis.
  • No significant association was found between Ureaplasma species and the occurrence or clinical characteristics of chronic prostatitis.

Conclusions:

  • Ureaplasma urealyticum may induce male urethritis.
  • Ureaplasma species detected in urine were not definitively associated with the development of chronic prostatitis.
Keywords:
Chronic prostatitisInfectionProstateUreaplasma parvumUreaplasma urealyticum

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