Department of Veterinary Surgery and Animal Reproduction, Faculty of Veterinary Medicine and Animal Science, FMVZ, São Paulo State University, UNESP, Botucatu, SP, Brazil.
Department of Animal Science, Federal University of Viçosa, Viçosa, MG, Brazil.
J Equine Vet Sci. 2020 Nov;94:103234. doi: 10.1016/j.jevs.2020.103234. Epub 2020 Aug 25.
Seminal vesiculitis in stallions reduces fertility and is often underdiagnosed. The most common cause is infection of seminal vesicles by bacteria capable of forming biofilms and a propensity for tissue persistence, for example, Pseudomonas aeruginosa. Achieving a clinical cure is challenging because of a high rate of recurrence. Systemic antibiotic therapy does not reach adequate therapeutic concentrations within the seminal vesicles; one alternative is endoscopy-guided, local antibiotic infusion into the gland lumen, with or without concurrent systemic antibiotics. Current diagnostic and therapeutic strategies for seminal vesiculitis are less than fully satisfactory, and several studies have been conducted to improve them. This review covers traditional and newer concepts regarding seminal vesiculitis, including diagnostic and treatment methods, management of stallions with this disorder, and authors' experience with clinical cases.
马的精囊腺炎会降低其生育能力，且常常被漏诊。最常见的病因是能够形成生物膜且有组织持久性倾向的细菌感染精囊，例如铜绿假单胞菌。由于复发率高，实现临床治愈具有挑战性。全身抗生素治疗无法在精囊内达到足够的治疗浓度；一种替代方法是在内窥镜引导下将抗生素直接注入腺腔，无论是否同时使用全身抗生素。目前针对精囊腺炎的诊断和治疗策略并不完全令人满意，因此已经进行了多项研究来改进这些策略。本综述涵盖了有关精囊腺炎的传统和新概念，包括诊断和治疗方法、该疾病马的管理，以及作者在临床病例中的经验。
