Observation on Trichomoniasis in the Lower Urinary Tract In the Male

Kim, Suck Gun; Suh, Sung Taik

Abstract

An experiment was made to detect the presence of Trichomonas vaginalis in 120 patients with lower urinary tract infection and 480 male soldiers without any noticeable symptoms. Microscopic examination and cultivation of sediment of centrifuged specimen of urine and of prostatic secretion obtained by prostatic massage was performed. Clinical observation was performed. Clinical observation was also made on 26 cases of Trichomoniasis in the lower urinary tract of males. The results were summarized as follows: 1. T. vaginalis was demonstrated in 7.5% of the lower urinary tract infected group (Group A) and 3.33% of control group (Group B). 2. Motile trichomonads were found in 57.1% through microscopic examination and additionally 42.9% by cultivation. 3. The sites of infection were urethra in 68%, prostate in 40% and bladder and epididymis in 4%. 4. The frequent subjective symptoms were itching sensation in the urethra (16%), perineal discomfort (12%), dysuria (12%) and urethral discharge (8%). 5. Higher level than the normal limit of leukocyte count through microscopic examination was observed in 48% in urine and 24% in prostatic secretion of the patients with Trichomoniasis. 6. Other pathologic bacteriae were demonstrated in 40% in urine and 20% in prostatic secretion by Gram stain. The most frequently mixed bacteriae were Gram positive cocci. 7. Nitrimedazine 250mg was administered orally twice a day for 7 days in 10 cases of Trichomoniasis in the urethra without mixed bacterial infection. The result was effective in 9 cases.