Study Of The Male Infertility With Nonbaterial Chronic Prostatitis/Chronic Pelvic Pain Syndrome (ⅢA/ⅢB)

Objective:To investigate the male infertility in nonbaterial prostatitischronic prostatitis /chronic pelvic pain syndrome(CAPⅢA CAPⅢB),chronic prostatitis(CP) in male crowd disease incidence higher,it most frequently urinary surgery diseases for below fifty -year male people;Nonbaterial chronic prostatitis has possess definite clinical symptom,it callⅢA for ejaculate,prostatic fluid or urine of prost prostatic massage exist to diagnose purpose WBCo CalledⅢB for above body fluid not detected meaning WBC cell clinical symptom;But,bacterium allocation cultivation all negative in two groups。Methods:A total of 81consecutive cases of patients who had been diagnosed as CAP/CPPSS,include 46 casesⅢB and 35 casesⅢA included in the study.With control group 52 normal fertility,Severity of symptoms in men with CAP/CPPSS was defined according to the NIH Chronic Prostatitis Symptom Index(NIH-CPSI).All of them underwent a'four ass-test'including leukocyte determination in expressed prostatic secretions(EPS),voided urine after prostatic massage(VB3)and ejaculate semen followed by analysis according to WHO.The analysis included seminalvolume,pH,duration of liquefaction,sperm density,vitality,motility(a+b)and morphology.Correlations between the duration orthe severity of symptoms and sperm iogram results in patients with CAP nl B were assessed respectively.Results:The CAPⅢA group,the CAPⅢB group and normal fertility difered significandy in ejaculate volume,duration of liquefaction and motility,while the remaining parameters did not difer sign ifican tly.Th e duration of chronic pelvic pain showed apprently positive correlationship with liquefaction time,while the symptom duration negatively corelated with sperm motility.The NIH—CPSI score had no significant relationship with seminal volume,duration of liquefaction and sperm motility.Conclusion: Our results indicate that CAPⅢB,CAPⅢA can have a significant negative impact on sperm volume,liquefaction and motility.Our data also supports the results that the longer the duration of symptoms,the more influences on semen liquefaction and motility might be。...