ABSTRACT
CASE REPORT Mr S.R. who is 41 years old attended our special outpatient consultation for urogenital infections. He complained of an infertile partnership of 24 months although he had ovulationoptimized intercourse. His 32-year-old spouse was apparently healthy (as shown by the results of the gynecological examination). He reported a history of bacterial prostatitis with several courses of antibiotic therapy. The last diagnosis was chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) NIH III b at the urological examination. The first clinical examination demonstrated a swollen caput epididymidis on both sides (palpation, sonography), normal testicular volumes and normal testosterone (T), follicle stimulating hormone (FSH), and luteinizing hormone (LH). The ejaculate analysis (twice) according to WHO demonstrated the following three key point results: oligozoospermia with <10 million spermatozoa/mL (twice), leukocytospermia (>1×106 PPL/mL), elastase in seminal plasma >1000 ng/mL. Ejaculate culture was sterile.
