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Chronic bacterial seminal vesiculitis as a potential disease entity in men with chronic prostatitis.
Int J Urol. 2015 May; 22(5):508-12.IJ

Abstract

OBJECTIVES

To investigate bacterial infection in the seminal vesicles by bacteriological examination and radionuclide imaging in men with chronic prostatitis.

METHODS

The study included 50 patients with chronic prostatitis who showed hot uptake in seminal vesicles on Tc-99m ciprofloxacin imaging and eight patients who did not show hot uptake. The evaluation included the National Institutes of Health Chronic Prostatitis Symptom Index and four-glass test. In all participants, transperineal aspiration of seminal vesicle fluid under the guidance of transrectal ultrasonography and bacteriological examination was carried out.

RESULTS

Of the 50 patients who showed hot uptake in the seminal vesicles on the isotope study, microorganisms were isolated from the seminal vesicle fluid in 17 patients (positive predictive value, 34%). The most common causative organisms were Escherichia coli in 13 patients (26%), followed by coagulase-negative Staphylococcus species in two patients (4%), Enterococcus faecalis in one patient (2%) and Chlamydia trachomatis in one patient (2%). No microorganisms were isolated in the eight patients who did not show hot uptake in the seminal vesicles (negative predictive value, 100%). However, there were no significant differences in National Institutes of Health Chronic Prostatitis Symptom Index total scores and subscores between the study groups.

CONCLUSIONS

Chronic bacterial seminal vesiculitis might simultaneously affect a considerable portion of patients with chronic prostatitis, although the clinical implication of the disease remains to be further investigated.

Authors+Show Affiliations

Department of Urology, Inha University School of Medicine, Incheon, Korea.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

25721352

Citation

Park, Soo-Hwan, et al. "Chronic Bacterial Seminal Vesiculitis as a Potential Disease Entity in Men With Chronic Prostatitis." International Journal of Urology : Official Journal of the Japanese Urological Association, vol. 22, no. 5, 2015, pp. 508-12.
Park SH, Ryu JK, Choo GY, et al. Chronic bacterial seminal vesiculitis as a potential disease entity in men with chronic prostatitis. Int J Urol. 2015;22(5):508-12.
Park, S. H., Ryu, J. K., Choo, G. Y., Chung, Y. G., Seong, D. H., Kim, C. H., Choe, W. S., Ryu, D. S., Hyun, I. Y., & Suh, J. K. (2015). Chronic bacterial seminal vesiculitis as a potential disease entity in men with chronic prostatitis. International Journal of Urology : Official Journal of the Japanese Urological Association, 22(5), 508-12. https://doi.org/10.1111/iju.12706
Park SH, et al. Chronic Bacterial Seminal Vesiculitis as a Potential Disease Entity in Men With Chronic Prostatitis. Int J Urol. 2015;22(5):508-12. PubMed PMID: 25721352.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Chronic bacterial seminal vesiculitis as a potential disease entity in men with chronic prostatitis. AU - Park,Soo-Hwan, AU - Ryu,Ji-Kan, AU - Choo,Gwoan-Youb, AU - Chung,Yeun-Goo, AU - Seong,Do-Hwan, AU - Kim,Chang-Ho, AU - Choe,Won-Sik, AU - Ryu,Dong-Soo, AU - Hyun,In Young, AU - Suh,Jun-Kyu, Y1 - 2015/02/26/ PY - 2014/05/01/received PY - 2014/11/20/revised PY - 2014/12/01/accepted PY - 2015/2/28/entrez PY - 2015/2/28/pubmed PY - 2016/2/5/medline KW - Tc-99m ciprofloxacin imaging KW - chronic bacterial seminal vesiculitis KW - chronic prostatitis SP - 508 EP - 12 JF - International journal of urology : official journal of the Japanese Urological Association JO - Int J Urol VL - 22 IS - 5 N2 - OBJECTIVES: To investigate bacterial infection in the seminal vesicles by bacteriological examination and radionuclide imaging in men with chronic prostatitis. METHODS: The study included 50 patients with chronic prostatitis who showed hot uptake in seminal vesicles on Tc-99m ciprofloxacin imaging and eight patients who did not show hot uptake. The evaluation included the National Institutes of Health Chronic Prostatitis Symptom Index and four-glass test. In all participants, transperineal aspiration of seminal vesicle fluid under the guidance of transrectal ultrasonography and bacteriological examination was carried out. RESULTS: Of the 50 patients who showed hot uptake in the seminal vesicles on the isotope study, microorganisms were isolated from the seminal vesicle fluid in 17 patients (positive predictive value, 34%). The most common causative organisms were Escherichia coli in 13 patients (26%), followed by coagulase-negative Staphylococcus species in two patients (4%), Enterococcus faecalis in one patient (2%) and Chlamydia trachomatis in one patient (2%). No microorganisms were isolated in the eight patients who did not show hot uptake in the seminal vesicles (negative predictive value, 100%). However, there were no significant differences in National Institutes of Health Chronic Prostatitis Symptom Index total scores and subscores between the study groups. CONCLUSIONS: Chronic bacterial seminal vesiculitis might simultaneously affect a considerable portion of patients with chronic prostatitis, although the clinical implication of the disease remains to be further investigated. SN - 1442-2042 UR - https://www.unboundmedicine.com/medline/citation/25721352/Chronic_bacterial_seminal_vesiculitis_as_a_potential_disease_entity_in_men_with_chronic_prostatitis_ L2 - https://doi.org/10.1111/iju.12706 DB - PRIME DP - Unbound Medicine ER -