GENITOURINARY TRACT INFECTIONS RELATIONSHIP WITH MALE INFERTILITY: A BACTERIOLOGICAL STUDY

Reissan AL-Husseiny, Khwam

	GENITOURINARY TRACT INFECTIONS RELATIONSHIP WITH MALE INFERTILITY: A BACTERIOLOGICAL STUDY
AL-TAQANI
Article 1, Volume 25, Issue 2, 2012, Pages 62-69
Author
Khwam Reissan AL-Husseiny
Abstract
A total of one hundred and twenty eight infertile males (age 20-45 years) with genitourinary tract infections were studied. The pus cells in the semen and urine were determined by the direct microscopic examinations, urine culture and semen analysis with culture. Thirty-seven (27.34%) of the patients have had an azoospermia, eighty patients (62.50 %) have had an oligospermia, and thirteen patients (10.13%) have had a spermatic count in the normal range. The common pathogens were isolated from the semen and the urine samples: Escherichia coli (18.35%), Staphylococcus aureus (14.49%), Coaglase negative Staphylococci (13.53%) and Klebsiella spp. (12.56%) respectively. There is a correlation (Cor=0.89) between the isolates from the semen and the urine. Urinary tract infections were acting as a nidus of infection for seminal tract. Antibiotic susceptibility of pathogenic isolates were shown that the Ciproflaxcin, Ceftriaxone, Rifampcin, Gentamycin, and Augmentin (Amoxicillin and Clavulante) as the more effective for the treatment of these infections caused by the Gram positive and Gram negative bacteria as the severe pathogens. The study recommends that the genitourinary tract infection is one of the possible causes for male infertility; also, before the decision about the treatment it is necessary to determine the causative agents of infection.

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