Krause W, Weidner W
Andrologia. 1982 May-Jun;14(3):284-6.
Infections caused by bacteria strike primarily the prostate and vesical glands, and secondarily the epididymis. Essential first is to give evidence of bacteria in germ numbers exceeding 10(5) pro ml ejaculate. In addition, the diagnosis of prostatitis requires the demonstration of other signs of infection, for example increased numbers of leukocytes in the ejaculate, in the prostatic secretion and in the urine; the clinical symptoms in relation to these indicators are not necessarily characteristic. It is essential for the microbiological diagnostic, that evidence of all the germs be found in native material. It is therefore necessary to first disinfect the external urethral orifice and the glans penis, in order to avoid super-imposition of germs from the surroundings. Every demonstration of bacteria must be connected with a determination of resistance. The relationships between the ejaculate parameters which deviate from the norm, and evidence of bacteria in ejaculate are unclear. Reports about disturbances in spermatozoa motility or morphology during infections of the adnexa of man are to be evaluated with care.
由细菌引起的感染主要侵袭前列腺和膀胱腺，其次是附睾。首先必须证明每毫升精液中的细菌数量超过10⁵ 个。此外，前列腺炎的诊断需要证明存在其他感染迹象，例如精液、前列腺分泌物和尿液中的白细胞数量增加；与这些指标相关的临床症状不一定具有特征性。对于微生物诊断而言，至关重要的是在原始材料中发现所有细菌的证据。因此，有必要首先对外尿道口和阴茎头进行消毒，以避免周围细菌的叠加。每次细菌检测都必须进行耐药性测定。精液参数偏离正常与精液中细菌证据之间的关系尚不清楚。关于男性附属腺感染期间精子活力或形态紊乱的报告需谨慎评估。
