Description

• Male accessory gland infection (MAGI) also known as Male accessory gland inflammation has been identified among those diagnostic categories which have a negative impact on the reproductive function and fertility in males
• MAGI is a hypernym that groups the following different clinical categories viz. prostatitis, prostate‐vesiculitis, and prostate‐vesiculo‐epididymitis
• It is a condition with signs of inflammation involving one or more site in the male genital tract

Classification

• Uncomplicated form - including prostatitis
• Complicated forms, which encounter the inflammatory involvement of both prostate and seminal vesicles (prostate‐vesiculitis)
• The involvement of all three glands (PVE)

Types

• Urinary disorders - particularly nocturia, decreased urinary strength, and incomplete bladder emptying
• Chronic pelvic pain- which can manifest itself as pain in the scrotal, penile, inguinal, suprapubic, and anal region
• Sexual dysfunctions -including erectile dysfunction, premature ejaculation, and decreased libido, are present in approximately 50% of patients
• Rarely cause obstruction of the seminal pathways
• Can have an unpredictable intracanicular spread to one or more sexual accessory glands of the reproductive tract, as well as to one or both sides

COMPLICATIONS

• Altered secretory function of the epididymis, seminal vesicles, and prostate
• Obstruction of epididymis
• Impaired spermatogenesis

Investigation

• History - positive for urinary infection, epididymitis, and/or sexually transmitted disease
• Physical signs - Thickened or tender epididymis, tender vas deferens, and/or abnormal digital rectal examination
• Prostatic fluid - Abnormal prostate fluid expression and/or abnormal urine after prostatic massage
• Ejaculate signs - Leucocyte >1 mil/mL, culture with significant growth of pathogenic bacteria, abnormal appearance, increased viscosity, increased pH, and/or abnormal biochemistry of the seminal plasma
• Scrotal and transrectal prostate‐vesicular ultrasound scans

Treatments

• Antibiotics play an important therapeutic role in bacterial prostatitis, while in non‐microbial forms, the treatment of choice is based on the use of anti‐inflammatory compounds

Ayurvedic Treatment

Internal Medicines

• Guduchyadi Kashaya
• Saptasara kashaya
• Nirgundyadi kashaya (in infections)
• Punarnavadi kashaya
• Guggulu panchapala choorna
• Vilwadi gutika
• Chandraprabha vati
• Chandanasava
• Punarnavasava
• Guduchi satva
• Gokshura pana
• Abhraka bhasma

Procedures

• Virechana – kalyana guda

Department

Male Infertility