Criteria for making the diagnosis of male accessory gland infection:
(1) one of the patient findings, and
(2) one or more of the following:
(2a) 1 history or physical findings + 1 prostatic fluid finding
(2b) 1 history or physical findings + 1 ejaculate sign
(2c) 1 prostatic fluid finding + 1 ejaculate finding
(2d) 2-3 ejaculate signs in each ejaculate
Patient findings:
(1) oligospermia, or
(2) asthenospermia (< 50% motility), or
(3) teratozoospermia
History and physical findings:
(1) history of urinary infection, and/or
(2) epididymitis, and/or
(3) sexually transmitted disease, and/or
(4) thickened or tender epididymis, and/or
(5) thickened vas deferens, and/or
(6) abnormal rectal examination
Prostatic fluid findings:
(1) abnormal prostatic expression fluid, and/or
(2) abnormal urine after prostatic massage
Ejaculate signs:
(1) > 1,000,000 white blood cells per mL
(2) culture yields significant growth of pathogenic bacteria
(3) abnormal appearance, and/or viscosity, and/or pH, and/or abnormal biochemistry of the seminal plasma
