Sunday, December 30, 2007

Subsidiary glandular abnormalities caused infertility

Seminal Vesiculitis Vesicles in touch with the post - prostate, vasectomy, urethra, bladder and adjacent to, and mutual traffic, Seminal Vesiculitis often secondary to the reproductive system urethral infection in other organs. Seminal Vesiculitis see less simple, but the seminal vesicle chronic inflammation can cause infertility. Semen 90% seminal vesicle secretion, fructose sperm can be used as a power source; When these seminal vesicle secretion reduce inflammation, and can affect sperm vitality; Less than semen, not filling vaginal fornix after semen pool also can cause infertility. Seminal Vesiculitis can be divided into two categories, acute and chronic. Seminal Vesiculitis more with prostatitis occurred, we should strictly distinguish between prostatitis or Seminal Vesiculitis sometimes difficult, often involving Seminal Vesiculitis sides of the more inflammatory bacterial Ejaculatory Duct along the posterior urethral infection or reverse the bacteria along Epididymitis gland caused by invasive vasectomy. Infection with E. coli bacteria seen, followed by Staphylococcus aureus, Streptococcus categories such as diphtheria bacilli. Seminal vesicle spermatheca mucosal inflammation, edema and congestive, glandular cavity can block inflammation and abscess formation, seminal vesicle abscess organizations will be spread to neighboring pierced seminal vesicle after invading the surrounding tissue. Seminal Vesiculitis clinical manifestations of acute and acute prostatitis symptoms similar. Performance for perineal pain, groin pain to be radiotherapy, and lumbosacral suprapubic; With a fever and high blood leukocytes; Sometimes with semen retention, expansion acute flu patients; If the adjacent organs with the infection, can cause abdominal pain; Seminal Vesiculitis chronic, often with chronic prostatitis with, mainly fine and blood, semen was pink, or red with gore, there will be painful intercourse; due to the spirit of fear, tension and other reasons, there will be decreased libido, sexual dysfunction and other symptoms. Prostatitis Prostatitis, especially male adults with chronic prostatitis is a common disease. On prostatitis and sterility relations still exist a lot of controversy, but most scholars believe that: prostate inflammation of the prostate can affect the normal physiological function, it secretion occurred obstacles, but the semen carry diseases, which affect the vitality of the sperm, resulting in reduced reproductive capacity. An acute bacterial prostatitis Cause: acute bacterial prostatitis more by the non-specific infections caused by bacteria. Pathogens including Escherichia coli, Staphylococcus aureus, Streptococcus, Enterococcus Diphtheria bacilli, and the category. Bacterial infections are three ways: 1 hematogenous: other parts of the body such as the Friendship furuncle, carbuncle, teeth, tonsils and lesions in the bacterial blood infections, prostate cycle; ?Ú lymphocytic; Under rectal or urinary tract infection by the bacteria lymphatic invasion and prostate; ?۠direct proliferation: posterior urethral infection of the upper urinary tract infection or bacterial proliferation directly to the prostate. Fatigue, cold, excessive drinking, sexual indulgence, perineal injury and hemorrhoids can be injection drug for acute bacterial prostatitis induced factors. Clinical manifestations: A, acute prostatitis symptoms when there will be chills, fever, fatigue, anorexia and other systemic infections; As can stimulate local inflammation is the same frequency, fever, fatigue, anorexia and other systemic infections; Local inflammatory stimuli may arise due to frequency, urgency, the novel , terminal hematuria, anus and perineum discomfort, constipation flu, and when heavier in the stool; gland hyperemia and edema can be caused oppression posterior urethral obstruction caused difficulty urinating, or even urinary retention; there diminished libido and painful intercourse. If not for treatment or ineffective treatment, general and local symptoms will be further aggravated if the anus of a severe perineal pain, should consider abscess formation. Two, there are signs pyogenic urethral secretions; DRE: prostate swelling, tenderness obvious, and local fever, in whole or in part glands tenacious irregular. In the acute stage prostate massage prohibited, so as to avoid the spread of the infection or bacteremia. 2, chronic bacterial prostatitis Chronic bacterial prostatitis is a male reproductive system diseases, outpatient surgery secretion of the male patients 21% ~ 30%, occurs in 20 to 40 years. Men over the age of 35 the incidence of 35% to 40%, rarely occur before puberty. Etiology: chronic bacterial prostatitis bacterial infection often four ways: Transurethral retrograde infections, pelvic infections directly or lymphatic spread, or other parts of the body bacterial blood infection in the prostate. But most see is the result of bacterial infection caused by transurethral retrograde. Treatment of acute prostatitis can not completely evolved into chronic. The bacterial infection for more than a bacteria, followed by Staphylococcus aureus, white Staphylococcus, Streptococcus, E. coli, like diphtheria bacteria, such as Pseudomonas aeruginosa. Also gonococcal urethritis development gonococcal prostatitis. Symptoms: chronic bacterial prostatitis larger clinical differences, varying severity. Local finds voiding discomfort, frequency, urgency, voiding posterior urethral burning flu, not urine flu; Stool or urethral morning when I outflow of a little thin milky white secretion; Abdomen, perineum, anus or medial thigh and waist pain discomfort, pain or constipation flu; Sometimes with testicles, balanoposthitis pain; body may be in the lumbar acid, weak and easy to fatigue, there are of neurasthenia; if insomnia, forgetfulness, depression and neurosis performance, often accompanied sexual dysfunction such as impotence, premature ejaculation, depression, pain and ejaculation. 3, non-bacterial prostatitis Etiology: nonbacterial prostatitis causes not sure whether Chlamydia trachomatis is controversial pathogenic factors, but 40% of male non-gonococcal urethritis and under the age of 35 are most acute epididymitis due to Chlamydia trachomatis infection. Mycoplasma bacteria in non-chlamydial urethritis patients with urethral far greater than the number of chlamydial urethritis in the urethra in the number and use of antibiotics against Mycoplasma (Chlamydia invalid) good therapeutic effect; Mycoplasma and Chlamydia trachomatis therefore is not likely to be the cause of bacterial prostatitis; Kinuhara and branched off of the original infection and infertility relations are not clear, pending further study. Viruses, fungi, anaerobes may also be non-bacterial prostatitis causes. Clinical features: non-bacterial prostatitis symptoms and bacterial prostatitis similar. There will be the back of, or suprapubic pain in different compression; External genitalia, perineum or anus of pain or discomfort; There are frequency, urgency, novel, nocturia and more; Stool or voiding terminals can be white urethral secretions from the mouth drop; In general fatigue, listlessness and a variety of nerve debilitating symptoms; associated with impotence and premature ejaculation and other sexual dysfunction; DRE will have prostate swelling, tenderness light; testing of leukocytes and prostate massage containing macrophage fat than normal, but the prostatic fluid-negative bacterial culture. Right prostatic fluid for chlamydia and mycoplasma DNA-PCR, positive results may be.

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