Non-venereal lymphangitis of the penis - symptoms and treatment

Inflammation of the lymphatic vessels of the penis is called lymphangitis .The most commonly affected lymph vessels along the trunk of the penis, or around the coronal sulcus. The disease is always secondary, usually in the background of trauma, or mechanical damage is attached to the infection in the lymph.

Frequent prolonged sexual acts, or acts of self-satisfaction may be the cause of lymphangitis of the penis.

Males affected by lymphangitis noted that the disease was preceded by:

• frequent long-term sexual intercourse;
• intensified masturbation( see whether masturbation is harmful for a man's health?);
• unusual postures in coitus, which contributed to the inflection of the penis.

Classification

1. Adrift lymphangitis can be:
   • sharp -Lasts from several hours to several days;
   • is chronic.
2. In depth of lesion:
   • deep - deep lymphatic vessels are affected;
   • superficial - subcutaneous lymphatic trunks are affected.
3. For severity of complications:
   • simple;
   • purulent.

Manifestations of non-venereal lymphangitis of the penis

Uncomplicated lymphangitis

Acute uncomplicated lymphangitis of the penis is manifested by compaction in the area of ​​the coronary sulcus, or along the shaft of the penis as a strand. Neoplasm is dense, painless.

Purulent lymphangitis

Lymphangitis is painful in the area of ​​the penis.

In the case of progression, most often against the background of open vascular injuries, a secondary infection joins and purulent inflammation develops. It manifests itself:

• general intoxication: a rise in temperature, a headache, weakness;
• sharp soreness in the penis;
• against the background of compaction and swelling of the penis, palpable sharply painful purulent infiltrates;
• appears purulent discharge.

Diagnosis

With uncomplicated penile lymphangitis , the diagnosis is made on the basis of examination and palpation is a characteristic of a densified enlarged lymphatic vessel. Specific laboratory changes may not be. It is important to differentiate lymphangitis from syphilis, in which a hard chancre can sometimes acquire similar outlines. When suspected of lymphangitis, all patients need to conduct a blood test for syphilis( Wasserman's reaction, etc.).

Uncomplicated lymphangitis of the penis can be confused with a herpetic lesion of the penis. At the same time pay attention to the formation of specific vesicles and erosions, characteristic of herpes. For the correct diagnosis in this case, PCR and immunofluorescence analysis are performed.

With complicated lymphangitis , one can see a characteristic picture from the general blood test( leukocytosis, an increase in ESR, a shift of the leukocyte formula to the left), and a general urine test( the presence of leukocytes and erythrocytes).

Purulent lymphangitis is differentiated from acute, especially gonococcal, urethritis. It also develops pain, purulent discharge from the urethra. To aid in the diagnosis comes bacteriological examination of a smear from the urethra with the definition of the causative agent of the disease.

Treatment of

Uncomplicated lymphangitis

In the case of uncomplicated lymphangitis of the penis, special treatment may not be required. As a rule, it passes independently, without any special changes on the part of the genitals. In such cases, the patient is dynamically observed and carried out a full complex of examinations to exclude other dangerous diseases( syphilis, genital herpes).In the presence of concomitant diseases, they undergo comprehensive treatment.

Purulent lymphangitis

In case of purulent lymphangitis, if there is a threat of its development and with recurrent lymphangitis with the development of a purulent process in a patient's history, it is required to be hospitalized.

• Drainage of purulent foci. If there are purulent foci and formations, they are opened and drained surgically.
• 

  When purulent lymphangitis is prescribed antibacterial drugs.

  Antibiotics. The next step is to prescribe antibacterial drugs. As a rule, these are broad-spectrum antibiotics( penicillins, cephalosporins, aminoglycosides).This is necessary to suppress pathogenic pathogens and prevent the development of inflammation.

• Anti-inflammatory drugs. For the removal of edema and pain, patients are given anti-inflammatory drugs( ibuprofen, indomethacin) and antihistamines( suprastin, loratadine, cytisine).It should be noted that a group of non-steroidal anti-inflammatory drugs causes a strong irritation of the gastric mucosa, and therefore patients with peptic ulcer of the stomach and duodenum, even outside of exacerbation, are appointed with great caution.
• Physiotherapy. During the period when the inflammation subsides, when the activity of the purulent process is completely suppressed, it is possible to attach physiotherapy procedures that promote the outflow of lymph( UHF, magnetotherapy).But we must be absolutely sure that purulent foci are eliminated, otherwise physiotherapy can contribute to the growth of a purulent infiltrate. In complex treatment, ultraviolet irradiation of blood is used as an additional tool for the destruction of infection.

Prognosis, prophylaxis

With timely diagnosis and correct treatment, the prognosis of the disease is favorable - it is possible to achieve complete cure of the patient. Unfortunately, men affected by lymphangitis of the penis do not always turn in time for medical help. In such cases, the disease can be chronic, take a stubborn sluggish character.

For the prevention of pathology, it is necessary to avoid sexual excesses, long masturbations, any traumas of genital organs. A measured sex life and hygiene compliance is the key to preventing the development of the lymphangitis of the penis.

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