STUDIES ON PYOSPERMIA IN MALE INFERTILITY

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  • 男性不妊症における膿精液症 (pyospermia) に関する基礎的, 臨床的検討

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Among 670 infertile men, 72 were diagnosed as pyospermia according to our criteria. i. e., WBC≥10/hpf semen. The sperm motile efficiency index (SMEI) which indicates the rate of progerssively motile sperms, was significantly low in pyospermic group compared with that of non-pyospermic men (WBC<5/hpf semen). From the result of split ejaculation, a major cause of pyospermia was supposed to be chronic prostatitis.<br>The SMEI was decreased immediately after addition of the neutrofils and granulocyte elastase to semen. The mean value of granulocyte elastase in pyospermic group was 2859.6μg/L, whereas that of non-pyospermic men was 131.6μg/L.<br>In summary, granulocyte elastse in seminal plasma may be a cause of inhibition of sperm motility in pyospermic state.

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