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Is seminal vesiculitis a discrete disease entity? Clinical and microbiological study of seminal vesiculitis in patients with acute epididymitis.
J Urol. 2004 Apr; 171(4):1550-3.JU

Abstract

PURPOSE

To our knowledge direct evidence of inflammatory involvement of the seminal vesicles has not previously been reported in patients with acute epididymitis. We verified the discrete disease entity of seminal vesiculitis associated with acute epididymitis.

MATERIALS AND METHODS

The study included 13 patients who were clinically diagnosed with acute epididymitis. We report imaging, cytological and bacteriological findings in the seminal vesicles of patients with acute epididymitis.

RESULTS

On transrectal ultrasonography 12 of the 13 patients (92.3%) had dilatation of the seminal vesicle on the side ipsilateral to epididymitis. Dilatation of the contralateral side was found in only 4 patients. Seminal vesicle fluid from the ipsilateral side showed inflammatory findings in all patients. In patients 40 years and younger Chlamydia trachomatis was detected in seminal vesicle fluid in 7 of the 8 patients with epididymitis with results positive for the microorganism on first voided urine.

CONCLUSIONS

Inflammatory responses were found in the seminal vesicles of patients with acute epididymitis. Chlamydia trachomatis was the causative pathogen most frequently detected in seminal vesicle fluid. Seminal vesiculitis is clearly associated with acute epididymitis and it may be a discrete disease entity.

Authors+Show Affiliations

Furuya R
Department of Urology, Sapporo Medical University School of Medicine, Sapporo and Furuya Hospital, Kitami, Japan.
Takahashi S
No affiliation info available
Furuya S
No affiliation info available
Kunishima Y
No affiliation info available
Takeyama K
No affiliation info available
Tsukamoto T
No affiliation info available

MeSH

Acute DiseaseAdultAgedEpididymitisGenital Diseases, MaleHumansInflammationMaleMiddle AgedSeminal Vesicles

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15017218

Citation

Furuya, Ryoji, et al. "Is Seminal Vesiculitis a Discrete Disease Entity? Clinical and Microbiological Study of Seminal Vesiculitis in Patients With Acute Epididymitis." The Journal of Urology, vol. 171, no. 4, 2004, pp. 1550-3.
Furuya R, Takahashi S, Furuya S, et al. Is seminal vesiculitis a discrete disease entity? Clinical and microbiological study of seminal vesiculitis in patients with acute epididymitis. J Urol. 2004;171(4):1550-3.
Furuya, R., Takahashi, S., Furuya, S., Kunishima, Y., Takeyama, K., & Tsukamoto, T. (2004). Is seminal vesiculitis a discrete disease entity? Clinical and microbiological study of seminal vesiculitis in patients with acute epididymitis. The Journal of Urology, 171(4), 1550-3.
Furuya R, et al. Is Seminal Vesiculitis a Discrete Disease Entity? Clinical and Microbiological Study of Seminal Vesiculitis in Patients With Acute Epididymitis. J Urol. 2004;171(4):1550-3. PubMed PMID: 15017218.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Is seminal vesiculitis a discrete disease entity? Clinical and microbiological study of seminal vesiculitis in patients with acute epididymitis. AU - Furuya,Ryoji, AU - Takahashi,Satoshi, AU - Furuya,Seiji, AU - Kunishima,Yasuharu, AU - Takeyama,Koh, AU - Tsukamoto,Taiji, PY - 2004/3/17/pubmed PY - 2004/5/7/medline PY - 2004/3/17/entrez SP - 1550 EP - 3 JF - The Journal of urology JO - J Urol VL - 171 IS - 4 N2 - PURPOSE: To our knowledge direct evidence of inflammatory involvement of the seminal vesicles has not previously been reported in patients with acute epididymitis. We verified the discrete disease entity of seminal vesiculitis associated with acute epididymitis. MATERIALS AND METHODS: The study included 13 patients who were clinically diagnosed with acute epididymitis. We report imaging, cytological and bacteriological findings in the seminal vesicles of patients with acute epididymitis. RESULTS: On transrectal ultrasonography 12 of the 13 patients (92.3%) had dilatation of the seminal vesicle on the side ipsilateral to epididymitis. Dilatation of the contralateral side was found in only 4 patients. Seminal vesicle fluid from the ipsilateral side showed inflammatory findings in all patients. In patients 40 years and younger Chlamydia trachomatis was detected in seminal vesicle fluid in 7 of the 8 patients with epididymitis with results positive for the microorganism on first voided urine. CONCLUSIONS: Inflammatory responses were found in the seminal vesicles of patients with acute epididymitis. Chlamydia trachomatis was the causative pathogen most frequently detected in seminal vesicle fluid. Seminal vesiculitis is clearly associated with acute epididymitis and it may be a discrete disease entity. SN - 0022-5347 UR - https://www.unboundmedicine.com/medline/citation/15017218/Is_seminal_vesiculitis_a_discrete_disease_entity_Clinical_and_microbiological_study_of_seminal_vesiculitis_in_patients_with_acute_epididymitis_ DB - PRIME DP - Unbound Medicine ER -