Inflammation in the seminal vesicles are always evolving as a complication of infectious diseases of the genitourinary system man (orchitis, urethritis, prostatitis).
What it is?
Vesicles - an inflammatory disease of the seminal vesicle. In most cases, the disease develops in conjunction with epididymitis (inflammation of the epididymis of the testis), urethritis (Inflammation of the urethra), prostatitis (inflammation of the prostate iron).
Causes of
Vesicles as an independent disease is very rare due to the deep location of the seminal vesicles in the pelvis, where pathogenic biological agents penetrate with great difficulty.
Vesiculitis usually develops in the background of urethritis, epididymitis or general infection - flu, tonsillitis, osteomyelitis. The emergence vezikulita almost always associated with established prostatitis. Struck by the prostate gland - the source of infection of the seminal vesicles, which are directly linked to it. Seminal vesicles provide sperm during ejaculation ejection. When prostate infection penetrates into the vial through a short kanalchiki, causing the development of vezikulita.
Reasons vezikulita:
- Pathogens specific infections - TB bacillus.
- Pathogens nonspecific infection - Staphylococcus, Streptococcus, E. coli, Proteus, Klebsiella, Enterococcus, Pseudomonas aeruginosa, influenza virus, herpes, cytomegalovirus, Mycoplasma, Candida.
- Diseases, sexually transmitted diseases - gonorrhea, syphilis, ureaplasmosis, chlamydia, bacterial vaginosis.
- Stagnation secretion in the seminal vesicles, the prostate or the venous blood in the scrotum and the pelvic organs.
- Mechanical trauma, or inflammation of the pelvic organs.
- Exposure to drugs and chemical substances.
- Allergy.
- Seasonal vitamin deficiencies.
- Metabolic disease.
- Disruption of the immune system.
There are several factors that increase the likelihood of a man vezikulita. These include, in particular:
- long absence of sex;
- chronic inflammatory disease genesis;
- violation of the bowel (frequent constipation);
- lack of exercise;
- sedentary work;
- immoderate sexual activity;
- decrease in the body's defenses (immune system involvement)
- presence of chronic infection foci (hroniosepsis).
The source of chronic infections may even be carious teeth.
symptoms vezikulita
There are acute and chronic vesicles. Most often the disease occurs in the chronic form.
- Acute vesicles begins abruptly, with severe pain in the bladder, rectum, extending to the groin, perineum, sacrum, lower back. When the voltage of the pelvic floor muscle pain increases, bloody discharge from the urethra may occur during defecation. Signs vesiculitis acute form accompanied by general deterioration of: high fever (39 ° C or higher), there are head and musculo-joint pains, weakness, nausea. Acute vesicles may result in self-healing, become chronic, which occurs most often, or cause complications in the form of gonecystopyosis.
- Chronic vesicles has symptoms similar to acute vesiculitis, but in a less pronounced form. Pain blurred, casual, aching in the suprapubic area, perineum, rectum, sacrum. Pain may be exacerbated or appearing during defecation and urination. Becomes painful ejaculation, seminal fluid appear traces of blood. Sometimes vezikulita symptoms may be absent, then they talk about asymptomatic disease.
Chronic vesicles if untreated, cause degenerative disorders in the seminal vesicles, which gives sperm production and leads to infertility. There is also a complication of chronic vezikulita include urinary disorders as a result of infection in the urinary tract, and erectile dysfunction.
Diagnostics
To be diagnosed carefully collected history (detection of chronic diseases), an evaluation of complaints and inspection. From the research laboratory methods are assigned:
- Ultrasound of the prostate and seminal vesicles through the rectum - TRUS (vesiculitis signs are enlarged, swollen seminal vesicles with a high content of liquid);
- complete blood count (accelerated ESR, leukocytosis, which indicates the presence of inflammation);
- urinalysis (high levels of leukocytes, erythrocytes and mucus, which is normally absent and hit the urine from the seminal vesicles);
- spermogramma (slow dilution of the ejaculate, increased or decreased semen volume, low content of motile sperm);
- receiving secretions of the seminal vesicles and their inoculation on a nutrient medium for the identification of the pathogen and antibiotic susceptibility.
Vezikulita differential diagnosis should be made with prostatitis, seminal vesicle tuberculosis, Kaposi's seminal vesicles, urethritis, colliculitis.
complications vezikulita
Vezikulita consequences can be very scary. Usually, the cause of their development, only one - is the lack of or delay treatment. Purulent inflammation of vesicles, which requires surgery, which was mentioned above is not the most serious problem that can be expected from the patient Poor treatment vesiculitis.
Much can be serious consequences if the infection went down the semyavydelitelnomu channel. In this case, an inflammation of the epididymis is observed with a possible transition directly on the gonads.
Testicles - a body which has a special barrier that prevents the penetration of the parenchyma of various substances that are found in the blood. These substances are not only pathogens, but also medicines. Thus, if the bacterium is still some detours will make the way in the testicles, then get it out to be very difficult. One might even say, almost impossible. Of course, after some time, the inflammation can stop on their own, only after it will remain the most serious consequences - a complete lack of fertility.
vezikulita treatment
Acute vesicles treated under the urological department. Appointed polupostelny mode, light, light diet.
Heat treatment:
- Warmer in the crotch area;
- Hot sitz baths - 15-20 minutes. 2 or 3 times a day;
- microclysters with hot water (40 ° C) supplemented with 0.5-1 g antipyrine 2 or 3 times a day. The patient holds the rectum hot water for 10-30 minutes, then releases back.
Medications:
- antibiotic therapy;
- during sexual arousal - means containing bromine;
- for pain - candles with ergotamine, painkillers;
- vitamins A, C, B group (V1,2).
After the relief of acute inflammation by massaging get the secret of the seminal vesicles and spend microscopic and bacteriological examination (acute vesicle-like massage contraindicated).
The main methods of treatment of chronic vezikulita:
- urological massage;
- administering antibacterial drugs directly to the seminal vesicles;
- fizioprotsedury (diathermy, mud, paraffin);
- instillation of silver nitrate into the urethra 0.25-0.5% (its rear portion);
- Surgical therapies (e.g., vesiculectomy).
In chronic vesiculitis shows mud resorts Essentuki, Saqi, Pyatigorsk.
In general, if all the necessary recommendations vezikulita treatment is successful and ends with recovery.
Folk remedies
Among traditional medicine leading position always occupy, of course, grass, fees herbs and all sorts of lotions, compresses and decoctions Herbal.
- Infusion of sage, burdock root, hypericum possess antibacterial, antifungal, wound healing, analgesic and immunostimulating effect.
- To strengthen the immunity should be tincture of Echinacea, Eleutherococcus. These funds increase the overall resistance of the organism, gives additional strength to fight infection.
- Ill advised to take a long time decoctions of herbs: nettle, calendula, fennel, yarrow, horsetail. They have anti-inflammatory, antibacterial, soothing, metabolic, immune protection.
Also, warm baths sit chamomile relieve inflammation, irritation and reduce the sensitivity of the skin and stimulates the immune defense mechanisms.
prevention
Prevention reduces inflammation seminal vesicles, primarily to treat the underlying disease (often - prostatitis).
It is also necessary to eliminate the predisposing factors of disease - avoid hypothermia, not lead a sedentary lifestyle, and in sedentary work regularly perform gymnastic exercises. Sexual life should be a regular, but excesses should be avoided.
