Unele aspecte în etiologia prostatitei cronice nespecifice

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.