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Abstract
In an attempt to ascertain whether chronic inflammatory processes in the human male accessory sex glands affect the appearance of the spermatozoa, testis, epididymis, vas deferens, seminal vesicle and prostate were investigated. The occurrence of inflammatory lesions in the accessory sex glands was correlated to the appearance of the spermatozoa in the epididymis and the ampulla of the vas deferens. The material was obtained from 100 males, aged 15 to 59 years, who had died sudden deaths. In addition, ejaculates from 10 men with clinically diagnosed chronic prostatitis were examined.
Inflammatory lesions were found in the epididymis in 21 men (mild), in the prostate in 43 (29 mild, 14 moderate) and in the seminal vesicle in 2 (mild).
No significant difference was demonstrated in the number of epididymal spermatozoa of normal appearance between cases with inflammation of the prostate and those without. Nor was any significant difference found in the number of spermatozoa of normal appearance between the epididymis and the ampulla of the vas deferens in cases with inflammation in the prostate. In ejaculates from men with chronic prostatitis the number of spermatozoa of abnormal appearance was the same immediately after ejaculation as after lysis. The number of spermatozoa of abnormal appearance was not increased when seminal plasma from men with chronic prostatitis was added to spermatozoa from men without demonstrable prostatitis.
Neither was any significant difference found in the number of spermatozoa of normal appearance in cases with inflammation in the epididymis and in those without, nor between the right and the left side in cases of unilateral inflammation.