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Analysis of Semen Criterion of Male Infertility Caused by Chronic Prostatitis

Author: ZhangYiFei
Tutor: LiangChaoChao;YeYuanPing;LiuMing
School: Anhui Medical University,
Course: Surgery
Keywords: Chronic prostatitis Male infertility Semen parameters Semen delayed liquefaction
CLC: R697.3
Type: Master's thesis
Year: 2008
Downloads: 128
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Abstract


Objective: To investigate the chronic prostatitis (CP) due to the Semen Quality indicators semen biochemical indicators as well as changes in the electrolyte. Methods: All patients were selected from male outpatient. All patients and subjects prior acquisition history, physical examination, and B-ultrasound. The group of cryptorchidism, testicular epididymitis, vesiculitis varicocele. Research objects are more than 2 years after marriage, cohabitation, regular sex life, while the spouse is not pregnant, and at the same time rule out the the woman existence of male prostatitis patients significantly affect fertility factors. Inclusion criteria: patients with prostatitis prostatitis symptoms, a history of> 3 months, prostatic fluid (EPS) conventional white blood cell count ≥ 10 / HP or VB3 cultured colonies> 10 4 / ml, or semen WBC> 5/HP. Randomly selected 54 cases of patients with chronic prostatitis, semen liquefaction time of the patients were divided into two groups: (1): of semen liquefaction normal group (B group): 34 patients, aged 23 to 40 years, mean 28.6 ± 4.3 years; semen liquefaction time 7 ~ 50min, with an average of 22.1 ± 12.4min. (2): semen delayed liquefaction group (C): 20 patients, aged 25 to 36 years old, with an average of 31.0 ± 3.7 years. Semen liquefaction time ≥ 60min. Choose healthy volunteers of normal fertility control group (A) 17 cases without CP. Analysis of each group sperm density, sperm motility and prostate-specific antigen, acid phosphatase, sialic acid and fructose concentrations were measured in each group in the seminal plasma, and determination of the concentration of potassium, sodium, calcium, chlorine. Results: the normal reproductive group, CP the liquefaction normal group and CP liquefied abnormal group in sperm density and sperm activity with normal fertility group compared to significantly reduce, P <0.001; seminal plasma PSA concentrations were 4.07 ± 3.68 * 10 5 < / sup> ng / ml, 1.28 ± 1.40 * 10 5 ng / ml, 1.43 ± 2.19 * 10 5 ng / ml, P <0.001 significant differences. PAP concentrations were 145.57 ± 59.11 u / ml, 162.79 ± 104.36 u / ml, 142.94 ± 66.61 u / ml, was not statistically significant, P> 0.05. Sialic acid, respectively, 3.96 ± 0.77 mmol / L, 3.92 ± 1.08 mmol / L, 3.97 ± 0.92 mmol / L, the concentration of fructose were 0.36 ± 0.11 u / ml, 0.30 ± 0.14 u / ml, 0.37 ± 0.17u/ml, there was no difference, P> 0.05. K concentration of 25.24 ± 5.40 mmol / L, 34.19 ± 11.69 mmol / L, 30.69 ± 7.97 mmol / L, difference, P <0.05. Na concentrations were 94.42 ± 6.25 mmol / L, 94.61 ± 12.84 mmol / L, 95.54 ± 9.16 mmol / L, no difference (P> 0.05). Ca 2 concentrations were 0.61 ± 0.33 mmol / L, 0.42 ± 0.26 mmol / L, 0.47 ± 0.24 mmol / L, there are differences, P <0.05; Cl - concentration respectively 62.28 ± 5.03 mmol / L, 60.09 ± 8.22 mmol / L, 64.39 ± 7.08 mmol / L, no difference, P> 0.05. Conclusion: CP due to male infertility patients compared with healthy normal group, low sperm density, sperm motility decreased activity seminal plasma PSA and K Ca 2 there are differences.

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CLC: > Medicine, health > Surgery > Urology ( urinary and reproductive system diseases) > Male genital diseases > Prostate disease
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