Inflammation of the seminal vesicles in men - symptoms and treatment

Vesiculitis (ICD-10 code 49.0) occurs in different forms, each of which is characterized by special symptoms. Treatment of the disease depends on the stage and its course, and knowledge of the reasons for the development and prevention will help to maintain a man's prostate health.

Description

Inflammation of the seminal vesicles in men, called vesiculitis, often becomes a complication of other pathological processes than an independent disease.

Usually occurs after 35 years of age, but younger men who have had an infection or lead a passive lifestyle are also at risk.

There are 4 stages:

Vesiculitis in men is unilateral or bilateral. Symptoms vary greatly depending on the form of the disease. So, with a sluggish course, hemospermia may be the only sign, and the acute process is characterized by pain in the groin, fever, difficulty urinating, painful erection.

Causes of vesiculitis in men

Infection is most often the root cause of seminal vesicle abnormalities, also called spermatocystitis.

There are three ways of penetration of pathogens:

Disruption of blood circulation in the pelvic organs and secretions in the gonads can cause congestive vesiculitis. In addition, the following reasons are responsible for the disease:

• allergies;
• trauma - for example, during medical procedures;
• anatomical features such as reflux or atresia that have caused the tissue of the seminal vesicle to come into contact with semen or urine.

Among the factors that increase the risk of developing spermatocystitis: inactivity, congestion in the lower abdomen, weakened immunity, stress, the practice of interrupting intercourse, constipation. As well as chronic diseases, irregular or too intense sex life, trauma to the abdominal organs.

Symptoms and signs

The clinical picture is characterized by the following symptoms:

• pain in the lower abdomen (usually on one side), migrating to the penis, testicles, perineum, rectum;
• fever, fever;
• increased urination;
• nausea, impaired appetite;
• sleepiness;
• painful intercourse, erection, ejaculation;
• wet dreams (involuntary ejaculation);
• decreased potency;
• blood in semen or urine;
• decreased quality or no orgasm at all;
• increased semen viscosity, the presence of clots in it;
• increased pain with filling of the bladder, urge to defecate.

Acute vesiculitis is characterized by several or most of these symptoms. Chronic has the same symptoms, only in an erased form, sometimes they are completely absent.

Disease diagnosis

Diagnostics includes three stages. First of all, the doctor collects an anamnesis: he learns from the patient about the symptoms, the duration of the manifestation of painful sensations, previous diseases, possible injuries.

Then a rectal examination is carried out: the doctor, through the rectum, probes the tissues around the prostate with his index finger. With vesiculitis (both acute and chronic), painful areas are felt over the prostate gland.

Then the following tests are prescribed to confirm the diagnosis:

Of course, not all examinations are prescribed to the patient, MRI or ultrasound may be sufficient to make a diagnosis. The number of tests depends on the severity of the symptoms, the presence of concomitant complications, the individual characteristics of the man's body.

Forms: acute and chronic

Acute vesiculitis is characterized by a sudden onset, rapid development. It starts with a sharp rise in temperature, signs of intoxication. It is easily diagnosed, with timely treatment, the prognosis is favorable. May develop against the background of prostatitis or common ARVI.

Chronic vesiculitis often develops from acute, but can accompany sluggish diseases of the genitourinary organs, for example, chronic inflammation of the prostate. Difficult to determine, often requires differential diagnosis and long-term treatment.

When neglected, it can lead to impotence, infertility.

Vesiculitis treatment: features

The doctor prescribes the treatment of vesiculitis based on the results of examination and tests, symptomatic therapy is used depending on the symptoms that appear.

The patient is prescribed medications and physiotherapy procedures. Sometimes folk remedies are also used as part of a comprehensive treatment.

Preparations

Since it is necessary to treat inflammation, its cause and accompanying symptoms, the drugs are selected so that the effect is complex.The following types of medications are used:

• antibiotics or antivirals;
• anti-inflammatory;
• antipyretic;
• immunomodulators;
• analgesics;
• laxatives.

The main treatment is drugs that suppress the pathogen: bacteria or viruses. The stagnant subspecies requires the use of angioprotectors, which correct the properties of the blood, improve its circulation.

Immunomodulators enhance the body's defense response. The rest of the drugs are designed to relieve the accompanying symptoms and ease the course of the disease. With severe pain syndrome, suppositories with an analgesic for rectal administration are prescribed.

Folk remedies

Alternative treatment is popular, but it can only be beneficial in combination with medications prescribed by a urologist. The following tools are effective:

A bath with chamomile broth can relieve the condition, reduce the external signs of inflammation. But it should be remembered that any methods of alternative treatment must first be discussed with a doctor.

Tips

In addition to taking medication, it is important to follow a diet based on plant and dairy products. You should reduce your intake of salt, spices, vinegar, butter, fried and fatty foods - anything that causes intestinal irritation, bloating, diarrhea, and constipation.

Thermal therapy is used as an adjunct:

• sitz baths with water 40-42 degrees;
• applying a heating pad to the perineum 3-4 times a day;
• microclysters with a volume of 150-300 ml and a temperature of 39-40 degrees.

After the signs of the disease are minimized, physiotherapy exercises are indicated, aimed at improving blood circulation in the small pelvis.

General scheme of therapy

How to treat a specific case is decided by the urologist, the general scheme includes:

• identification of the pathogen and culture for susceptibility to antibiotics to select the optimal drug (if there is suitable equipment in the laboratory, in most cases, a broad-spectrum antibiotic is simply prescribed);
• prescribing ancillary drugs to relieve pain and other manifestations of the disease;
• scheduling physiotherapy procedures - warming up, prostate massage, mud therapy.

In an acute course, the patient can be hospitalized, the chronic form is treated on an outpatient basis.

Surgery: Operation

If abscesses appear in the seminal vesicles, which is accompanied by severe pain, surgery is required. The surgeon makes drainage for washing; in advanced cases, the vesicles are removed. After the intervention, the patient will have to spend several days in the hospital, observing a diet and excluding physical activity.

Complications and consequences

If inactive at the stage of empyema (suppuration), infected fluid can enter neighboring organs or the abdominal cavity, which leads to the formation of fistulas, peritonitis and sepsis. They are accompanied by severe intoxication, pain, if you do not take action, a lethal outcome is possible.

A long chronic course leads to the spread of infection to the prostate gland, drying out of the vesicles and subsequent infertility. Complete impotence is the most common consequence, since many men are in no hurry to treat sluggish spermatocystitis.

Prevention

Certain preventive measures will help prevent the development of vesiculitis:

• a healthy diet with restriction of fatty, salty, smoked, fried foods, as well as pastries and sweets;
• regular exercise without overstraining;
• quitting smoking, drugs, alcohol;
• including fiber in the menu;
• regular medical examinations;
• timely fight against any infections;
• regular sex life with a regular partner;
• using condoms to protect against STDs during casual sex;
• protection of the perineum from injury;
• genital hygiene;
• wearing comfortable underwear that does not interfere with the blood supply.

In addition, it is useful to take vitamin and mineral complexes, natural remedies to improve metabolism and against all kinds of stagnation. Hiking, exercise in the morning is a pleasant "medicine" against physical inactivity, which is enough so that you do not need to be treated for the consequences of a sedentary lifestyle. Such preventive measures will help a man to avoid not only vesiculitis, but also most of the disorders in all body systems.