Aims and objectives
Chronic cowperitis (ChC) is a poorly understood disease and simulates chronic urethritis or prostatitis [1 – 6].
Diagnosis of ChC can be difficult. Purpose.
To study clinical and sonographic manifestations of ChC in adult patients.
Methods and materials
laboratory and ultrasound Cowper's glands (CG) were performed in 200 patients with chronic prostatitis.
Ultrasound CG was performed using a rectal probe 6 to 9 MHz and a linear sensor 6 to 16 MHz.
ChC was detected in 108 (54%) patients.
The active form of ChC was 32 (30%),
latent form of ChC - 76 (70%).
92 (85%) patients with ChC in history there were indications moved transmitted genital infections,
asthenozoospermia was observed in 38 (35%).
The active form of ChC manifested by pain in the perineum,
leukocyturia without systemic inflammatory reaction.
Digital rectal examination CG was informative only 8 (7%) patients.
Latent ChC no clinically manifested.
In patients with long current chronic prostatitis ChC is a frequent concomitant disease with latent clinical course.
Ultrasound CG should be included in the protocol of examination of the patients of reproductive age with infertility and various infections of the urinary organs.
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