Diagnosis of Accessory Gland Infection and its Possible Role in Male Infertility

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Abstract
The diagnosis of male adnexitis is difficult and the influence of this condition on fertility is questionable. To define diagnostic criteria, a comprehensive study of biochemical and morphological features of semen plus culture for microorganisms was performed in patients who were assessed for infertility during a 4 yr period. The following parameters were considered of diagnostic value: history of urogenital infection and/or abnormal rectal palpation; significant alterations in the expressed prostatic fluid and/or urinary sediment after prostatic massage; uniform growth of more than 103 pathogenic bacteria or more than 104 non-pathogenic bacteria/ml in culture of diluted seminal plasma; presence of more than 106 (peroxidase positive) leukocytes/ml of ejaculate; signs of disturbed secretory function of the prostate or seminal vesicles. The diagnosis of infection is accepted if any 2 of these criteria are met.