Abstract:
Summary
123 patients with the clinical symptoms of chronic prostatitis and the presence of more than 10
WBCs/high power field on expressed prostatic secretion were examinated for urogenital infections.
Gram - negative bacteria (GNB) were found in 11,4% patients, the sexual transmissible infections
(STI) were detected at 74% males. Gram - positive bacteria (GPB) were observed most frequently
- in 97,6% cases. Among GPB, pathological germs (S. aureus, Corinobacterium spp., S. fecalis)
were presented only in 27,6% of examinations, but saprophyte or conditional pathogen germs (Str.
viridans, S. epidermitis, Streptobacterium spp.) were detected in 81,3% cases. In most of the cases
GPB were associated with STI in 87,8% and with GNB in 2,4% of the cases. Only in 9,8% of the cases
the GPB were discovered separately, among this group of patients at 6,2 % during the antibacterial
treatment, by means of repeated examinations, was detected the T. vaginal. The STI were observed
only in association with bacterial infection, more frequently with GPB. CONCLUSIONS: High detection
of STI in urethra and prostate supposes urethrogen's etiology of chronic prostatitis. As a result of
contamination with STI local antimicrobial barrier was decreased and has been associated with
bacterial infection, special GPB and inflammation was transformed from asymptomatic, latent
process to active forms.
