Indian Journal of Urology
REVIEW ARTICLE
Year
: 2017  |  Volume : 33  |  Issue : 3  |  Page : 188--193

Semen culture and the assessment of genitourinary tract infections


Michael Solomon, Ralf Henkel 
 Department of Medical Biosciences, University of the Western Cape, Bellville, South Africa

Correspondence Address:
Ralf Henkel
Department of Medical Biosciences, University of the Western Cape, Bellville
South Africa

The male factor contributes approximately 50% to infertility-related cases in couples with an estimated 12%–35% of these cases attributable to male genital tract infections. Depending on the nature of the infection, testicular sperm production, sperm transport, and sperm function can be compromised. Yet, infections are potentially treatable causes of infertility. Male genital tract infections are increasingly difficult to detect. Moreover, they often remain asymptomatic (“silent”) with the result that they are then passed on to the relevant sexual partner leading to fertilization and pregnancy failure as well as illness of the offspring. With the worldwide increasing problem of antibiotic resistance of pathogens, proper diagnosis and therapy of the patient is important. This testing, however, should include not only aerobic microbes but also anaerobic as these can be found in almost all ejaculates with about 71% being potentially pathogenic. Therefore, in cases of any indication of a male genital tract infection, a semen culture should be carried out, particularly in patients with questionable semen quality. Globally, an estimate of 340 million new infections with sexually transmitted pathogens is recorded annually. Among these, the most prevalent pathogens including Chlamydia trachomatis, Ureaplasma urealyticum, Neisseria gonorrhoeae, and Mycoplasma hominis. Escherichia coli are considered the most common nonsexually transmitted urogenital tract microbes. These pathogens cause epididymitis, epididymo-orchitis, or prostatitis and contribute to increased seminal leukocyte concentrations.


How to cite this article:
Solomon M, Henkel R. Semen culture and the assessment of genitourinary tract infections.Indian J Urol 2017;33:188-193


How to cite this URL:
Solomon M, Henkel R. Semen culture and the assessment of genitourinary tract infections. Indian J Urol [serial online] 2017 [cited 2020 Aug 4 ];33:188-193
Available from: http://www.indianjurol.com/article.asp?issn=0970-1591;year=2017;volume=33;issue=3;spage=188;epage=193;aulast=Solomon;type=0