Value of TRUS in the Diagnosis of Chronic Prostatovesiculitis in Infertile Men
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- Category: Vol. 83, September 2015
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Value of TRUS in the Diagnosis of Chronic Prostatovesiculitis in Infertile Men, AMR M. ABD EL-RAHEEM, HATEM M. EL-AZIZY and AHMED M. HASSANIN
Abstract
Introduction: Chronic Prostatovesiculitis (CPV) is con-sidered a potential cause of infertility that gained a lot of consideration in the last decade. CPV can cause infertility through secretory dysfunction of the accessory glands, in-creased ROS and obstruction of the seminal ducts. CPV can be symptomatic or asymptomatic, bacterial and none bacterial and it can be present with absence of pus cells in Expressed Prostatic Secretion (EPS). Rrecently TRUS is considered an important tool for diagnosis of CPV.
Objective: This work aimed to detect the value of TRUS in the diagnosis of CPV in infertile men.
Patients and Methods: This study included 201 infertile men. They were grouped into 4 groups according to semen parameters. Group 1 (37 participants): Low semen volume Azoospermic (AZ), Group 2 (22 participants): Low semen volume olig and/or asthenospermic (OAZ), Group 3 (62 participants): Normal semen volume AZ and group 4 (80 participants): Normal semen volume OAZ.
Expressed prostatic secretion analysis, seminal fructose and serum total testosterone estimation were done for all participants. All were screened by TRUS for evidence of CPV.
Results: TRUS evidence of CPV was detected in 29 (14.2%) participants. Of them: 9 (3 1%) had low semen volume, 20 (69%) had normal semen volume, 14 (48.3%) were AZ and 15 (51.7%) were OAZ. The percentage of TRUS evidence of CPV among the 4 groups was comparable. All participants with clinical and/or laboratory evidence of CPV had TRUS evidence of CPV. Of the TRUS evident CPV, 13 (44.8%) had normal pus cell count in EPS, 17 (58.6%) had normal pus cell count in semen and 21 (72.4%) had normal seminal fructose. Comparative study among groups for the incidence of increased pus cells in EPS and semen showed insignificant difference.
Conclusion: TRUS may have a role in the diagnosis of CPV in infertile men. TRUS evidence of CPV had comparable incidence in low and normal semen volume infertile men.