{"id":12792,"date":"2025-07-31T10:48:49","date_gmt":"2025-07-31T14:48:49","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/leukocytospermia\/"},"modified":"2025-07-31T10:48:49","modified_gmt":"2025-07-31T14:48:49","slug":"leucocitospermia-pt-br","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/leucocitospermia-pt-br\/","title":{"rendered":"Leucocitospermia"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[126],"glossary-product":[],"class_list":["post-12792","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-urological-conditions"],"acf":{"gt-definition":"<p>Leucocitospermia \u00e9 definida como a presen\u00e7a de uma concentra\u00e7\u00e3o anormalmente alta de gl\u00f3bulos brancos (leuc\u00f3citos) no s\u00eamen, excedendo especificamente 1 \u00d7 10<sup>6<\/sup> leuc\u00f3citos por mililitro de ejacula\u00e7\u00e3o, de acordo com os crit\u00e9rios da Organiza\u00e7\u00e3o Mundial de Sa\u00fade.<sup>1<\/sup> Esta condi\u00e7\u00e3o representa um estado inflamat\u00f3rio no trato reprodutivo masculino que pode indicar infec\u00e7\u00e3o subjacente, inflama\u00e7\u00e3o ou outra patologia processos.<sup>2<\/sup> A presen\u00e7a excessiva de leuc\u00f3citos pode gerar esp\u00e9cies reativas de oxig\u00eanio (ROS), que podem danificar as membranas dos espermatozoides, prejudicar a fun\u00e7\u00e3o dos espermatozoides e potencialmente comprometer os resultados de fertilidade.<sup>3<\/sup> A leucocitospermia \u00e9 encontrada tanto em homens f\u00e9rteis quanto em homens inf\u00e9rteis, embora apare\u00e7a com mais frequ\u00eancia no \u00faltimo grupo, afetando aproximadamente 30% dos inf\u00e9rteis. homens.<sup>4<\/sup><\/p>\n<p>A leucocitospermia \u00e9 definida pela presen\u00e7a de mais de 1 milh\u00e3o de leuc\u00f3citos por mililitro de s\u00eamen (> 1 \u00d7 10\u2076\/mL), conforme crit\u00e9rios da OMS. Pode indicar infec\u00e7\u00e3o ou inflama\u00e7\u00e3o do trato genital masculino, incluindo prostatite, vesiculite seminal, epididimite ou uretrite. \u00c9 encontrada em 10-20% dos homens inf\u00e9rteis e pode contribuir para a subfertilidade atrav\u00e9s de dano oxidativo aos espermatozoides.<\/p>","gt-synonyms":"Leucospermia, Piospermia","gt-citation":"[1] World Health Organization. (2010). WHO laboratory manual for the examination and processing of human semen, 5th ed. Geneva: World Health Organization. DOI: 10.1016\/j.mefs.2013.04.006\n\n[2] Khodamoradi K, Kuchakulla M, Narasimman M, et al. (2020). Laboratory and clinical management of leukocytospermia and hematospermia: a review. Therapeutic Advances in Reproductive Health, 14:2633494120922511. DOI: 10.1177\/2633494120922511\n\n[3] Sandoval JS, Raburn D, Muasher S. (2013). Leukocytospermia: Overview of diagnosis, implications, and management of a controversial finding. Middle East Fertility Society Journal, 18(3):129-134. DOI: 10.1016\/j.mefs.2013.04.006\n\n[4] Jung JH, Kim MH, Kim J, et al. (2016). Treatment of Leukocytospermia in Male Infertility: A Systematic Review. World Journal of Men's Health, 34(3):165-172. DOI: 10.5534\/wjmh.2016.34.3.165\n\n[5] Ricci G, Perticarari S, Fragonas E, et al. (2009). Leukocytospermia and sperm preparation - a flow cytometric study. Reproductive Biology and Endocrinology, 7:128. DOI: 10.1186\/1477-7827-7-128","gt-clinical-context":"<p>A leucocitospermia \u00e9 clinicamente significativa na avalia\u00e7\u00e3o e tratamento da infertilidade masculina.<sup>1<\/sup> A condi\u00e7\u00e3o \u00e9 diagnosticada atrav\u00e9s de v\u00e1rios m\u00e9todos, sendo a colora\u00e7\u00e3o imuno-histoqu\u00edmica com anticorpos monoclonais considerada padr\u00e3o-ouro, embora a colora\u00e7\u00e3o com peroxidase seja mais comumente usada na pr\u00e1tica cl\u00ednica devido \u00e0 sua praticidade.<sup>2<\/sup> Outras abordagens diagn\u00f3sticas incluem o teste de Endtz, citometria de fluxo e elastase de granul\u00f3citos senais. testes.<sup>3<\/sup><\/p>\n \n <p>A etiologia da leucocitospermia \u00e9 multifatorial, incluindo infec\u00e7\u00f5es do trato genital (bacterianas ou virais), inflama\u00e7\u00e3o sem infec\u00e7\u00e3o, varicocele, tabagismo e traumas como les\u00e3o medular.<sup>4<\/sup> Curiosamente, em aproximadamente 80% dos homens inf\u00e9rteis leucocitosp\u00e9rmicos, nenhuma infec\u00e7\u00e3o microbiana pode ser detectada apesar da resposta inflamat\u00f3ria.<sup>2<\/sup><\/p>\n \n <p>Clinicamente, a leucocitospermia tem sido associada a espermatog\u00eanese prejudicada, motilidade esperm\u00e1tica reduzida, defeitos na fun\u00e7\u00e3o da cauda do espermatoz\u00f3ide e taxas mais altas de teratoastenozoospermia e necrozoospermia.<sup>2<\/sup> A condi\u00e7\u00e3o pode prejudicar o potencial de fertiliza\u00e7\u00e3o dos espermatoz\u00f3ides, interferindo na rea\u00e7\u00e3o across\u00f4mica e na fus\u00e3o espermatozoide-\u00f3vulo processos.<sup>3<\/sup> O principal mecanismo de dano parece ser atrav\u00e9s de esp\u00e9cies reativas de oxig\u00eanio geradas por leuc\u00f3citos, que podem causar peroxida\u00e7\u00e3o lip\u00eddica das membranas dos espermatozoides ricas em \u00e1cidos graxos poliinsaturados.<sup>3<\/sup><\/p>\n \n <p>As abordagens de tratamento variam com base na etiologia suspeita e incluem antibi\u00f3ticos (tetraciclinas, quinolonas, macrol\u00eddeos) para suspeitas de infec\u00e7\u00f5es, agentes antiinflamat\u00f3rios, antioxidantes e modifica\u00e7\u00f5es no estilo de vida, como parar de fumar.<sup>5<\/sup> Nos casos em que a leucocitospermia afeta os resultados de fertilidade, tecnologias de reprodu\u00e7\u00e3o assistida podem ser consideradas, com aten\u00e7\u00e3o especial \u00e0s t\u00e9cnicas de prepara\u00e7\u00e3o de esperma que podem separar os espermatozoides dos gl\u00f3bulos brancos. c\u00e9lulas.<sup>4<\/sup><\/p>\n<p>O diagn\u00f3stico requer diferencia\u00e7\u00e3o entre leuc\u00f3citos e c\u00e9lulas germinativas imaturas (utilizando peroxidase ou anticorpos monoclonais). A EAU recomenda investiga\u00e7\u00e3o com urocultura e cultura de s\u00eamen quando leucocitospermia \u00e9 persistente. O tratamento inclui antibi\u00f3ticos quando infec\u00e7\u00e3o \u00e9 documentada e anti-inflamat\u00f3rios. Antioxidantes (vitamina E, vitamina C, sel\u00eanio) podem reduzir o estresse oxidativo associado \u00e0 leucocitospermia.<\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":182},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.7 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Leucocitospermia: Leuc\u00f3citos no S\u00eamen | Rigicon<\/title>\n<meta name=\"description\" content=\"Conhe\u00e7a a leucocitospermia, presen\u00e7a elevada de leuc\u00f3citos no s\u00eamen. 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