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[Microbiological analysis of the ejaculate in andrology].
Zeitschrift Fur Hautkrankheiten
|April 1, 1983
Summary
Microbiological semen analysis aids in diagnosing infertility and artificial insemination issues. Analyzing additional samples like urethral swabs and urine helps pinpoint infections and define significant bacterial or white blood cell counts.
Area of Science:
- Andrology
- Microbiology
- Urology
Context:
- Microbiological semen analysis is crucial in andrology, particularly for infertility and artificial insemination.
- Detecting urethral colonization requires analyzing additional patient specimens, including urethral swabs and first-void urine.
- Quantitative analysis is vital for potentially pathogenic bacteria, while few pathogenic bacteria indicate infection.
Purpose:
- To enhance the localization of suspected infections and detect asymptomatic urethral colonization.
- To establish clear definitions for
- significant bacteriospermia
- " and
- significant leukocytospermia
- " for standardized laboratory comparisons.
- To differentiate between contamination and infection from non-specific potentially pathogenic flora.
Summary:
- Recommends analyzing semen, urethral swabs, and first-void urine for comprehensive microbiological assessment.
- Advocates for quantitative analysis of potentially pathogenic bacteria and microscopic examination for abnormal cells and microorganisms.
- Highlights the importance of identifying Ureaplasma and Chlamydia trachomatis and defining thresholds for bacteriospermia and leukocytospermia.
Impact:
- Improves diagnostic accuracy in andrology by integrating multiple specimen analyses.
- Facilitates standardized microbiological testing and interpretation across laboratories.
- Aids in distinguishing between contamination and true infection, leading to more effective treatment strategies.