Abstract | OBJECTIVES: METHODS: The study included 50 patients with chronic prostatitis who showed hot uptake in seminal vesicles on Tc-99m ciprofloxacin imaging and eight patients who did not show hot uptake. The evaluation included the National Institutes of Health Chronic Prostatitis Symptom Index and four-glass test. In all participants, transperineal aspiration of seminal vesicle fluid under the guidance of transrectal ultrasonography and bacteriological examination was carried out. RESULTS: Of the 50 patients who showed hot uptake in the seminal vesicles on the isotope study, microorganisms were isolated from the seminal vesicle fluid in 17 patients (positive predictive value, 34%). The most common causative organisms were Escherichia coli in 13 patients (26%), followed by coagulase-negative Staphylococcus species in two patients (4%), Enterococcus faecalis in one patient (2%) and Chlamydia trachomatis in one patient (2%). No microorganisms were isolated in the eight patients who did not show hot uptake in the seminal vesicles (negative predictive value, 100%). However, there were no significant differences in National Institutes of Health Chronic Prostatitis Symptom Index total scores and subscores between the study groups. CONCLUSIONS: Chronic bacterial seminal vesiculitis might simultaneously affect a considerable portion of patients with chronic prostatitis, although the clinical implication of the disease remains to be further investigated.
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Authors | Soo-Hwan Park, Ji-Kan Ryu, Gwoan-Youb Choo, Yeun-Goo Chung, Do-Hwan Seong, Chang-Ho Kim, Won-Sik Choe, Dong-Soo Ryu, In Young Hyun, Jun-Kyu Suh |
Journal | International journal of urology : official journal of the Japanese Urological Association
(Int J Urol)
Vol. 22
Issue 5
Pg. 508-12
(May 2015)
ISSN: 1442-2042 [Electronic] Australia |
PMID | 25721352
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | © 2015 The Japanese Urological Association. |
Chemical References |
- Organotechnetium Compounds
- Technetium Tc 99m ciprofloxacin
- Ciprofloxacin
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Topics |
- Adult
- Bacterial Infections
(diagnostic imaging)
- Chronic Disease
- Ciprofloxacin
(analogs & derivatives)
- Humans
- Male
- Middle Aged
- Organotechnetium Compounds
- Prostatitis
(diagnostic imaging, microbiology)
- Seminal Vesicles
(diagnostic imaging, microbiology)
- Tomography, Emission-Computed, Single-Photon
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