Differential
Description
A referent is an infectious process in the vas deferens. Inflammation also occurs in the testicle, causing epididymitis( inflammation of the appendage of the testis).Infection should be timely identified and applied adequate therapy. Otherwise, the inflammation will pass to the spermatic cord.
Infection occurs when exposed to E. coli, streptococcus, staphylococcus, tubercle bacillus. Infection can occur with mechanical damage to the scrotum, resulting in trauma to the organs.
Since the pathogens of the inflammatory process are viral microorganisms, the disease has the following classification depending on their origin:
- Nonspecific deferent( produced by E. coli);
- Specific deferentitis( produced by tuberculosis bacteria).
Causes of
As a primary process, inflammation occurs rarely. More often it accompanies orchitis( inflammation of the testicles), epididymitis. Penetration of pathogens into the duct is possible from infectious foci of the genitourinary system( prostatitis, urethritis).The reason may be prolonged sexual deprivation( abstinence) or multiple sexual acts.
Symptoms
The disease is divided into acute or chronic, depending on the method of flow.
For the acute form of deferentitis is characteristic:
- Sensation of weakness, lethargy;
- High body temperature;
- Pain in the testicles;
- Edema in the groin;
- Pressure is often increased;
- For physical exertion, pain in the lower back and groin area.
Chronic forms are characterized by the same symptoms, but less pronounced. The patient does not feel any particular discomfort.
Diagnostics
The urologist diagnoses this disease. It collects complete information, including:
- Visual inspection;
- Palpation,
- ultrasound;
- Biochemical blood test;
- Sciatic tissue biopsy( if necessary);
- Urine culture;
- Cytology.
Treatment of
At an early stage, conservative therapy is provided with the inclusion of antibiotics, immunomodulators, anesthetics and physiotherapy procedures.
In case of acute illness it is necessary to observe bed rest, use warmers and compresses, wear suspensions( a bandage for the scrotum).For removal of severe pain, Novocaine blockade of the spermatic cord is shown, which is carried out every 4 days.
When the acute form of inflammation subsides, physiotherapeutic procedures are performed: paraffin, iontophoresis and ozocerite( wax from petroleum products).
When the prostate gland and seminal vesicles are affected, enemas with a solution of chamomile or antipyrin help.
For tubercular deferentitis, specific therapy is required and very often removal of the duct and appendage.
A complicated form of deferentitis is treated by surgery.
Folk remedies
Self-treatment of deferentitis is contraindicated. The intake of general-purpose antibiotics and folk prescriptions will only lead to a relapse of the disease.
Complications of
The course of the disease can be complicated by the development of male infertility. More often it happens in a bilateral process. With nonspecific, the prognosis is favorable.
Prevention
Prevention of the disease consists in the observance of simple rules:
- Can not supercool the body;
- Use barrier contraceptives for sexual contact;
- To cure and prevent sexually transmitted infections;
- Do not allow injuries to the urogenital system;
- At least 2 times a year to visit an andrologist.
The referentitis refers to the little-studied diseases, so difficulties are encountered in diagnosis.