Bar-Chama N, Fisch H
Department of Urology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, N.Y.
World J Urol. 1993;11(2):76-81. doi: 10.1007/BF00182033.
Infections of the male genitourinary tract may contribute to infertility by adversely affecting sperm function, causing anatomical obstruction or initiating a leukocyte response. The majority of infertile males are asymptomatic, and the significance and the criteria for the diagnosis of a genital tract infection are controversial. The evaluation for a genital tract infection focuses on urine and semen cultures as well as on the accurate quantitation of seminal leukocytes. An elevated seminal leukocyte count, pyospermia, can be associated with male infertility and may reflect an infectious or inflammatory disorder. In addition, the role of specific genital tract infections such as chlamydiosis, gonorrhea, ureaplasma and trichomoniasis and their possible association with male infertility is addressed.
男性生殖泌尿系统感染可能通过对精子功能产生不利影响、导致解剖学梗阻或引发白细胞反应而导致不育。大多数不育男性没有症状，生殖道感染的诊断意义和标准存在争议。生殖道感染的评估重点在于尿液和精液培养以及精液白细胞的准确计数。精液白细胞计数升高即脓精症，可能与男性不育有关，并且可能反映出感染性或炎性疾病。此外，还讨论了衣原体感染、淋病、解脲脲原体和滴虫病等特定生殖道感染的作用及其与男性不育的可能关联。
