Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
Pus Cells In Semen. Scrotum Scan Done. What Does Findings Suggest?
Hello Doctor, I have plenty of pus cells in semen as per my semen analysis report. I consulted a urologist and asked to undergo Anti Chlamydia antibodies IgG,Herpes Simplex Virus 1&2-IgM,Herpex Simplex Virus 1&2 - IgG,Glycosylated Haemoglobin Test,Thyroid Profile Test and Semen Culture. All the test results were negative and then asked to go for scrotum scan. In the scan report, the impression given was "Grade 4 reflux seen in the right spermatic cord veins without significant dilatation of the same". Could you please let me know what it means?
Thanks for your time.
Thanks for your time.
Tue, 20 Aug 2013
Hello and welcome to HCM,
The ultrasound report suggests reflux of semen in the spermatic cord.
reflux refers to back flow of the semen.
Back flow can occur due to an obstruction at any level of the spermatic cord.
A stricture or narrowing of the spermatic cord is the commonest cause of reflux.
Narrowing or constriction is seen in cases of sexually transmitted diseases like gonorrhea, syphilis, chlamydial infection.
Is there past history of sexually transmitted disease?
Presence of pus cells in semen suggests infection in the semen.
You have mentioned that tests for infectious agents like chlamydia, and herpes simplex virus are negative.
Tests for syphilis and gonorrhea should also be tested.
A culture of the semen will also help to identify the organism.
Consult your doctor for these investigations so that the condition can be managed.
Thanks and take care
Dr Shailja P Wahal
The ultrasound report suggests reflux of semen in the spermatic cord.
reflux refers to back flow of the semen.
Back flow can occur due to an obstruction at any level of the spermatic cord.
A stricture or narrowing of the spermatic cord is the commonest cause of reflux.
Narrowing or constriction is seen in cases of sexually transmitted diseases like gonorrhea, syphilis, chlamydial infection.
Is there past history of sexually transmitted disease?
Presence of pus cells in semen suggests infection in the semen.
You have mentioned that tests for infectious agents like chlamydia, and herpes simplex virus are negative.
Tests for syphilis and gonorrhea should also be tested.
A culture of the semen will also help to identify the organism.
Consult your doctor for these investigations so that the condition can be managed.
Thanks and take care
Dr Shailja P Wahal
I find this answer helpful
Hi,
Thanks for writing in to us.
There are two parts in my reply:
1. The presence of plenty of pus cells in your semen: This is most likely infectious in origin. As Chlamydia and Herpes tests have come negative, other causative organisms need to be searched or isolated from your semen specimen. Very often this can be treated by a broad range antibiotic. Please avoid sexual contact without a condom till you are completely treated for infection.
2. Scrotal scan showing grade 4 reflux in spermatic cord veins:
This is known as varicocele and usually a cause for male infertility and erectile dysfunction.A varicocele is a scrotal abnormality defined by elongated, dilated and tortuous veins that drain the testicle. You must get it evaluated by a urologist and get it surgically corrected depending on your age and problems faced.
Hope this helps
Thanks for writing in to us.
There are two parts in my reply:
1. The presence of plenty of pus cells in your semen: This is most likely infectious in origin. As Chlamydia and Herpes tests have come negative, other causative organisms need to be searched or isolated from your semen specimen. Very often this can be treated by a broad range antibiotic. Please avoid sexual contact without a condom till you are completely treated for infection.
2. Scrotal scan showing grade 4 reflux in spermatic cord veins:
This is known as varicocele and usually a cause for male infertility and erectile dysfunction.A varicocele is a scrotal abnormality defined by elongated, dilated and tortuous veins that drain the testicle. You must get it evaluated by a urologist and get it surgically corrected depending on your age and problems faced.
Hope this helps
I find this answer helpful
1 Doctor agrees with this answer
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Recent questions on Spermatic cord
Loading Online Doctors....