We, at the MacLeod laboratory, examine and treat patients with chronic prostate infection. Patients visit us either for treatment of symptomatic chronic prostatitis or as husbands of infertile couples who exhibit documented bacteriospermia. The evaluation begins with a detailed history taking and objective evaluation of the patient’s symptom index.
We adopted the standard NIH prostatitis questionnaire. Following the completion of the questionnaire, semen and urine analysis with culture studies follow. Cultured organisms include Chlamydia trachomatis (from the urethral swab), Mycoplasma group, and a complete screening for aerobic and anaerobic bacteria and yeast. Both urine and semen are examined for the parasite Trichomonas. Next a physical examination of the genitals follows and the prostate gland is evaluated first with digital rectal examination and then rectal sonography is performed. Pictures taken during sonographic examination are stored in the chart for documentation and for future reference.
An EPS sample is examined under the microscope for epithelial cells, bacteria and white blood cells. Similarly, urine sediment is examined to rule out a cystitis component. Two to three weeks are needed to complete the culture studies and antibiotic sensitivity.
"With more than 30 years of experience, Dr. Toth recognizes and treats bacterial and pelvic infections that are a significant cause of infertility and can affect the overall health of an individual."
"Recognizing the impact that infections within the male genital canal can have on a couple’s fertility, we recommend direct injections of an antibiotic cocktail into the prostate of all men with clinical and sonographic evidence of chronic prostatitis."
Characteristics of Chlamydia Developmental Cycle
"Our findings show that direct antibiotic injection for chronic prostatitis is a viable addition to standard therapies. Improvements in symptom scores are long lasting. Discomfort is minimal and side effects are rare and avoidable."