Bar-Chama N, Goluboff E, Fisch H
Scott Department of Urology, Baylor College of Medicine, Houston, Texas.
Urol Clin North Am. 1994 Aug;21(3):469-75.
Controversy exists concerning the exact role of genitourinary tract infections in male infertility. This ambiguity is due to the currently conflicting literature coupled with present limitations in obtaining and evaluating the significance of diagnostic tests such as semen cultures and leukocyte counts. In the evaluation of the infertile man for a possible infectious cause, a complete history, physical examination, and urinalysis identify most infectious disorders. In the majority of infertile men who are asymptomatic, evaluation for a subclinical genital tract infection focuses on the accurate determination of seminal leukocytes. The determination of pyospermia may identify those men with a subclinical genital tract infection who require further investigation. Prospective studies using clearly defined criteria, new diagnostic tools, and effective control groups are needed to evaluate better the impact of infection and pyospermia on male infertility.
关于泌尿生殖道感染在男性不育中的确切作用存在争议。这种模糊性是由于目前相互矛盾的文献，以及在获取和评估精液培养和白细胞计数等诊断测试的意义方面存在的局限性。在评估不育男性是否存在可能的感染原因时，完整的病史、体格检查和尿液分析可识别出大多数感染性疾病。在大多数无症状的不育男性中，对亚临床生殖道感染的评估重点是准确测定精液中的白细胞。脓精症的测定可能会识别出那些需要进一步调查的亚临床生殖道感染男性。需要使用明确界定的标准、新的诊断工具和有效的对照组进行前瞻性研究，以更好地评估感染和脓精症对男性不育的影响。
