Vesiculitis: Symptoms and Treatment
Vesiculitis is an inflammatory disease of the male reproductive system.It affects seminal vesicles - a paired organ that participates in the mechanism of ejaculation.Another name for the disease that occurs in the medical literature is "spermatocystitis."Table of contents: Causes of vesiculitis in men Classification Factors predisposing to vesiculitis Symptoms of vesiculitis in men Diagnosis Treatment of vesiculitis
Causes of vesiculitis in men
In 100% of cases, this pathology is a complication of another pathology of infectious and inflammatory origin.
These include the pathology of the genitourinary system:
- orchitis ( single or bilateral);
- inflammation of the prostate;
- urethritis( inflammation of the ureter).
In some cases, vesiculitis is a complication of common common ailments, such as:
Important: pathology can complicate such a serious disease as bone pelvic osteomyelitis.
According to statistics, men who have chronic inflammation of the prostate gland for a long time suffer from vesiculitis most often.
An infectious agent, which is the direct cause of inflammation, can enter the vesicles in a lymphatic or hematogenous way.It is also possible to migrate it ascending way - through the spermatic cord or along the vas deferens.
Among the most common pathogens of the disease are:
- E. coli( Escherichia coli);
- of staphylococci;
Colonies of infectious agents multiply on the mucosa of a given reproductive organ, provoking an inflammatory process.
According to the accepted classification, the following forms of pathology are accepted:
- acute vesicle;
- chronic vesicle.
Chronic vesiculitis is the result of an untreated or untreated acute disease.
Note: if inflammation passes to nearby tissues, the diagnosis is "paraveziculitis".
Factors predisposing to vesiculitis
There are a number of factors that increase the likelihood of a man developing vesiculitis.
These include, in particular:
- disorders of the intestine( frequent constipation);
- physical inactivity;
- sedentary work;
- immoderate sexual activity;
- long absence of sex;
- chronic inflammatory disease;
- decrease in body defenses( defeats immunity)
- presence of chronic foci of infection( chroniosepsis).
Important: chronic constipation is often a consequence of malnutrition, in particular - the regular consumption of "fast food".
The source of a chronic infection can even be carious teeth.
Symptoms of vesiculitis in men
Note: is generally characterized by a chronic course of vesiculitis.
All clinical manifestations of vesiculitis can be conditionally divided into general and local.
- increased fatigue;
- reduced performance;
- general weakness;
- a periodic slight increase in body temperature( up to 37 °).
- pains in the perineum and pubis;
- discharge from the urethra during defecation( not always);
- presence of blood in the semen( hemospermia);
- nighttime uncontrolled erections;
- dysuria( frequent urination);
- impaired sexual function;
- painful ejaculation.
Pain often radiates into the lumbar region or groin.For vesiculitis is characteristic that the symptomatology can be erased, and clinical manifestations appear in patients in various combinations.
Generally, it is not enough to collect an anamnesis for a precise diagnosis.A specialist-urologist conducts a rectal examination to the patient.In addition, data from a general analysis of blood and urine, as well as a secret of seminal vesicles, are needed.Spermogram is mandatory.A very informative method of instrumental research is ultrasound scanning( ultrasound).
Important: The ultrasound is performed transrectally.
Treatment of vesicles
Most patients show conservative treatment.In an outpatient setting, it is not carried out - it is necessary to place the patient in a hospital.
Treatment in hospital
The patient is shown antibacterial therapy.The most effective, as a rule, preparations of the fluoroquinolone series and agents from the group of macrolides.In parallel, non-steroidal anti-inflammatory drugs( NSAIDs) are prescribed.
If necessary, prescribe soft laxatives.If there is no relapse, that is, acute inflammation, physiotherapy is prescribed, including rectal massage of seminal vesicles, warm enema of very small volume and sessile tubs.
Other, shown with vesicle FT, include:
The positive effect of balneotherapy was noted.
After adequate and timely treatment of the chronic form, there is a stable remission.If the conservative methods are ineffective, puncture of the vesicles with their subsequent washing is applied.Suppuration requires surgical intervention.
Traditional medicine for the treatment of vesiculitis offers to take vegetable juice.It is a mixture of beet, cucumber and carrot juices, mixed in equal volumes.This natural remedy is recommended to drink 100 ml 4 times a day before eating.
In parallel, local treatment is recommended: the administration of propolis suppositories based on propolis.
Prevention of vesiculitis
Prevention of inflammation of seminal vesicles reduces, mainly, to the treatment of the underlying disease( more often - prostatitis).It is also necessary to eliminate predisposing factors to the development of pathology - avoid hypothermia, do not lead a sedentary lifestyle, and with the sedentary nature of the work regularly perform gymnastic exercises.Sexual life should be regular, but excesses should be avoided.
If the vesiculitis is not treated in a timely manner, the inflammatory process will likely progress with a high probability.
Possible increase in body temperature to 39 ° C, increased pain and increased severity of other clinical manifestations.The result of inflammation can become suppuration, which is an unconditional indication to surgical intervention.
In case of chronic development of the process, bilateral inflammation of the epididymis epididymis is possible, which leads to disruption of the vas deferens and, consequently, to obstructive male infertility.
Acute form in a number of cases is complicated by empyema of seminal vesicles.
Note: empyema is a total pathological process in which the tissues of the vesicles are subjected to complete purulent fusion.The disease requires surgical intervention - puncture followed by drainage.
Unfortunately, if the disease is badly run and the seminal vesicles are already atrophied or sclerosed, then it will not be possible to completely restore the functional activity of the organ.
Vladimir Plisov, medical reviewer