ABSTRACT
The adequate clinical management of infertility includes the male partner examination. Acute and, particularly, chronic prostatitis may induce fibrosis and stricture of one or both vasa. Chronic prostatitis is marked by unusual sonographic findings. Spreading of the prostatic infection into the vasa deferentia may induce fibrosis, stricture, or total occlusion of one or both vasoprostatic connections. Prostatic abscess is the final stage of the focal infection. The seminal vesicles are important in the elaboration of the seminal plasma, and their secretions form up to 80% of the total ejaculate. During the routine urological examination, acute vesiculitis cannot be detected easily, and invasive radiographic technique or cystoscopy has to be employed. Ultrasound diagnosis of chronic vesiculitis suffers from significant limitations, because of similarity to malignant disease appearance. Acute epididymitis is a frequent urological diagnosis. Acute orchitis very rarely shows up as an isolated inflammatory disease (mumps orchitis).
