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[Problems in the determination of pathogens in prostatovesiculitis].

D Wachtel, W Pfister, H Goebel

Zeitschrift Fur Urologie Und Nephrologie

|November 1, 1977

Summary

Diagnosing bacterial prostatitis is challenging. Semen analysis alone is unreliable for detecting infection due to contamination risks and variability in germ counts among healthy individuals.

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Area of Science:

Urology
Microbiology
Diagnostic Medicine

Background:

Prostatovesiculitis diagnosis often relies on identifying microorganisms.
Distinguishing contamination from true infection is crucial for effective treatment.

Purpose of the Study:

To evaluate the diagnostic value of microbial analysis in ejaculate for prostatovesiculitis.
To assess the reliability of germ counts in ejaculate compared to midstream urine for differentiating infection.

Main Methods:

Bacteriological examination of midstream urine and ejaculate samples.
Analysis of 100 males without urogenital inflammatory conditions.
Comparison of germ quantities between ejaculate and urine specimens.

Main Results:

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Qualitative microorganism detection in ejaculate has limited diagnostic value due to contamination.
Germ counts in ejaculate vary significantly among healthy individuals.
Ejaculate germ counts are not a reliable criterion for diagnosing prostatovesiculitis compared to urine analysis.

Conclusions:

Bacterial prostatitis diagnosis requires germ counts in ejaculate to be significantly higher than in midstream urine.
Variability in ejaculate flora complicates its use as a sole diagnostic marker.
Further research may be needed to refine diagnostic criteria for prostatovesiculitis.