Male accessory gland infection.

Male accessory gland infection (MAGI) is a consequence of canalicular spreading of agents via urethra, prostate gland, seminal vesicles, deferent duct, epididymis and testis. Haematogenous infections are rare. The main infectious agents are Neisseria gonorrhoeae and Chlamydia trachomatis, and also enterobacteriae at a lesser frequency. Characteristic symptoms of MAGI are leukocytospermia, enhanced concentration of cytokines and reactive oxygen species. As complications, obstruction of the ductus epididymidis and/or another duct section, impairment of spermatogenesis in orchitis, impairment of sperm function, and dysfunctions of the male accessory glands may occur. Reduction of male fertility is a rare consequence. The treatment has to consider specific antibiotics.