There are various diseases of the reproductive system, among which men frighten pathologies affecting the penis in particular. One of these diseases is cavernitis, which is characterized by pronounced symptomatology like fever and intoxication manifestations, etc. In the absence of treatment, the patient risks losing his masculinity, then only prosthetics can correct the situation. Therefore, it is important to know the symptomatic manifestations of pathology and, when they arise, contact the urologist.
Description of the pathology
Cavernitis belongs to the category of inflammatory pathologies and occurs in the cavernous bodies of the penis. A similar pathological process is rare, rather than epididymitis, prostatitis, balanoposthitis or urethritis, however, low prevalence does not diminish its risk. Disease with its consequences, which can significantly impair the quality of the patient's sexual life and reduce his fertility.
In the penis there are two cavernous bodies that are cylindrical in shape and covered with a thin skin layer. Cavernous or cavernous bodies are necessary for the normal erection of the penis, so the cavernitis is dangerous for the development of impotence. In parallel with cavernous bodies there passes also a spongy body, inside which lies the urethra. Because of the close anatomical location, inflammatory processes in the cavernous bodies often affect the spongy, spongy body.
Causes of inflammation of
Several factors can provoke the development of cavernitis:
- Traumatization. In this case, the reasons are operative interventions, traumas of the penis, leading to damage to the cavernous bodies. In the same category can be attributed and cavernitis of postinjectional origin, i.e. developed due to the introduction of medicaments into cavernous bodies. Injury cavernous bodies can also prolonged catheterization;
- Infections. In this category, various urogenital infections are combined, and the cavernitis develops as their complication or neglect. Frequent predecessor of cavernitis is urethritis, especially caused by gonorrhea. Often cavernous bodies are damaged as a result of lymphogenous spread of infectious pathogens. A similar pattern is observed in general-organic pathologies of a purulent-inflammatory nature such as sinusitis, carious teeth, tonsillitis, sepsis, etc.;
- A special type is cavernitis, which develops against the background of syphilitic damage to the body.
Classification of
In accordance with the mechanism of occurrence, inflammation of the cavernous tissues of the penis is classified into a syphilitic and overtone form. Syphilitic cavernitis is found on the cavernous tissues of the penis in the tertiary syphilitic period. This form is difficult to treat, and nodular structures in the penis, formed in the process of development of pathology, do not completely dissolve.
The overturned pathological form develops due to the spread of inflammation from the urethral mucosa deep into the penis. As a result, nodal densifications are also formed in the body of the penis, however, due to adequate therapy, they completely dissolve. If the pathology does not respond to the therapeutic effect, the densification does not disappear, causing the penis to deform or develop an abscess accompanied by a breakthrough of purulent masses into the canal of the urethra or not the surface of the penis.
In addition, cavernitis can develop with an acute or chronic character of the inflammatory process.
As
is manifested Usually inflammation of the cavernous tissues is characterized by an acute sudden onset, accompanied by a sudden appearance of intense pain syndrome inside the penis. On the genitals there is a pronounced puffiness and hyperemia. The penis becomes bigger, there may be non-erectile-related erections. Against the backdrop of local symptoms, cavernitis also manifests itself as signs of general organic intoxication, such as weakness, fever, chills, and headaches. Inguinal lymph nodes become inflamed, and prolonged pathological erections lead to difficulties with urination, urinary retention, etc.
When probing the penis, there are infiltrative seals causing severe pain. If there are no treatment measures, then the cavernitis progresses, the inflammation is accompanied by a corpuscle of the accumulated infiltrate in the tissues, which leads to abscesses in the cavernous tissue, which usually breaks into the urethra. After the breakthrough of the abscess, the man becomes lighter, the swelling of the penis subsides, and from the urethra the fetid purulent substance that contains the dead partitions of the cavernous body is released. In the future, necroticization of these partitions will result in a violation of the processes of blood filling and impotence. After opening, the abscess is scarred, which leads to deformation of the penis in the erect state.
Cavernitis with a chronic course character often develops due to improper or incomplete treatment of acute inflammation, and sometimes occurs as a complication of chronic inflammation of the urethra tissues. Then the pathological process is characterized by:
- Painful nodular formations in the tissues of the genital organ;
- The appearance of painful erections;
- Constant aching pain inside the penis;
- Erectile disorders, up to dysfunction.
Therapeutic measures
The success of therapeutic measures depends entirely on the correct approach to treatment. When addressing a patient, the primary task of a specialist is to identify a pathogen that caused such inflammation. In addition, it is necessary to exclude STDs and other probable causes of such a condition of the patient. For this purpose, a bacterioscopic analysis of the smear from the urethra is carried out, bacteroscopy of the secretions and PCR analysis are carried out.
After the determination of pathogens provoking cavernitis, the patient is prescribed appropriate antibiotic therapy with penicillin, macrolide, nitrofuran or iminoglycoside groups. In addition, the administration of immunomodulating drugs is prescribed, which promote the enhancement and strengthening of the immune status. Treatment is not only cavernitis, but also the main inflammatory process, which was the source of the disease.
The warming sessions, physiotherapeutic procedures like electrophoresis, laser treatment, magnetotherapy or ultrasound procedures, etc., are of great therapeutic effectiveness. In case of a complicated course of the pathology accompanied by an abscess, operative manipulations are performed, during which the source of inflammation is opened and the purulent substance is removed. If the cavernitis provoked a curvature of the penis, then the corresponding correction of the penis is carried out.
Forecasts and prevention of
If the patient turned to the urologist on time, and the treatment was properly administered, then he has all the chances for recovery without complications and adverse consequences. If the cavernitis occurs with complications, then the patient is really threatened by the development of infertility and erectile dysfunction. Then return the sexual functions will be able to only prompt correction with the help of phalloprosthetics.
Prevent cavernitis timely therapy of urethritis and other inflammatory processes, not only in the genitourinary system, but also in the entire body as a whole. No less important is the prevention of STIs, which also often provoke cavernitis. For this, it is recommended that a man use condoms and avoid accidental sexual intercourse.
Inflammation in the penis refers to very dangerous conditions, which can lead to loss of sexual functions and even amputation of the penis with an incorrect therapeutic approach. Therefore, the sudden appearance of the first symptomatology should become an occasion for a visit to the urologist. Self-medication cavernitis can deplorably affect male health.
