THE INTERPRETATION OF CHRONIC INFECTIONS OF THE PROSTATE AND SEMINAL VESICLES

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Abstract
Gonorrhea is a predisposing cause of chronic prostatitis and chronic seminal vesiculitis in the majority of instances, but the gonococci at this stage are rarely present, having been displaced by other bacteria. Persons with a remote history of gonorrhea are as likely to have a hematogenous infection as those with a negative gonorrheal history. It is probable that in either type the infection may sometimes occur by direct extension from urine of unrecognized descending infections. Occasionally, the mild type of so-called nongonorrheal urethritis may go by direct extension into the prostate without producing any definite posterior urethritis. However, the clinical evidence would seem to favor the view that many infections are postgonorrheal, either latent or active. In many postgonorrheal infections the activity of the prostatic infection is brought to attention, at least, by certain symptoms and signs. Changes in the urethra of an obstructive nature, with resulting urinary disturbances or

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