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Symptomatic manifestations of cystitis of the male genitourinary system


Symptomatic Manifestations Of Cystitis Of The Male Genitourinary System

Cystitis is a disease in which the walls of the urea become inflamed. In men, cystitis begins to bother after the age of forty. The disease is provoked by urological pathologies that have arisen against the background of stagnation in the ureter. The main factor in the appearance of cystitis is an infection that has penetrated into the bladder.


Such a disease, according to statistics, is more often observed in female patients, in the stronger sex this pathology rarely occurs, this is due to the anatomical features of the urination channel.



What types of cystitis are there


Cystitis is acute and chronic.


An acute illness may manifest itself:



  • once;
  • once a year, sometimes less often;
  • more than twice a year.

If men received effective treatment until complete recovery, then the laboratory results carried out by the instrumental technique will correspond to the norm.


Chronic disease, there are several types:



Definition of primary and secondary manifestation


The onset of primary type cystitis does not depend on other, additional pathologies. Pathology is divided into acute and chronic forms.


Secondary inflammation of cystitis flares up against the background of other diseases:



  • bladder diseases - the cause is stone formations, foreign bodies, injuries, tumor processes, anomalies, surgical intervention on the bladder;
  • extravesical diseases - the development of adenoma, diseases and injuries of the spine, the development of prostatitis, urethral strictures and more.


Development of cervical and diffuse cystitis


The difference between this disease depends on the zone of localization of inflammation:



  • a sign of cervical cystitis is expressed in inflammation of the urea neck;
  • trigonitis - marked by signs of an inflamed triangle, limited by the urinary canal and the orifice of the ureter;
  • The manifestations of mixed cystitis are inflammation of the walls of the urethra.

Cervical male cystitis is accompanied by inflammation of the urea sphincter with pain during the emptying process, sometimes patients complain of incontinence. Additional symptoms include a frequent urge to go to the toilet to drain urine.


Signs of trigonitis is an inflammation of the urea sphincter. With cystitis of this course, the mouth in the ureter will also become inflamed. This pathological process is fraught with complications in the form of vesicoureteral reflux (injection of urine (reverse) into the ureter). It harms the kidneys (pyelonephritis, congestion). With trigonitis, disorders in the form of manifestations of urinary failure are characteristic, traces of plasma with pus may be observed in urine.


Diffuse signs of cystitis in men are caused by the manifestation of continuous inflammation of the membranes with typical symptoms.



Cystitis of a catarrhal or ulcerative type


Modification of membranes and deep structures indicates the following types of the inflammatory process:



  • catarrhal;
  • hemorrhagic - with blood loss;
  • cystic - presence of a cyst;
  • phlegmonous - with purulent discharge;
  • gangrenous - with dead tissue of urea;
  • other varieties (encrusted, interstitial, granulomatous).

Male pathology (a type of cystitis) is distinguished by the type of pathogen and the state of protective functions in the body. Catarrhal cystitis is manifested by minimal modification of the mucous membranes, rather than other types of the disease. Determination of the form of pathology, and its variety, occurs after endoscopic examinations (cystoscopy, biopsy).


Factors provoking an outbreak of cystitis in a strong half of the population If the disease manifests itself with pronounced symptoms, then the patient will not be able to delay the visit to the urologist for a long time. Symptoms and treatment of male cystitis are discussed with a specialist doctor. After a thorough examination and collection of anamnesis, all forms of the disease are effectively treated.


The causes of cystitis in men with an exacerbated and chronic course are associated with a number of factors:



  • radioactive background;
  • allergic manifestation;
  • infectious pathologies (kidneys, ureter);
  • an infectious disease transmitted through sexual intercourse;
  • immunodeficiency and decreased activity of protective functions against the background of another disease (diabetes mellitus, blood diseases);
  • penetration of mycoinfection of tuberculosis, viruses and other harmful bacteria into the urine through the lymph, through the urethral canal, bloodstream;
  • regular hypothermia of the body;
  • sepsis;
  • prostatitis, urethritis;
  • adenoma or prostate cancer;
  • reverse urine injection (turbulent movement along the urethra);
  • urinary trauma (surgery, catheterization);
  • fistulas in the perineal space between the urinary tract and rectum.

The causative agents of the development of male cystitis are:



  • gonococci, streptococci;
  • mycoplasmosis, ureaplasmosis;
  • intestinal infections and bacilli;
  • urogenital bacteria;
  • proteus.

The causes of cystitis in male patients are determined after carrying out diagnostic measures, on the basis of tested, submitted tests and biomaterials for research. For all sorts of reasons and types of inflammatory provocateurs, a specific treatment regimen is selected.



The main symptoms of male cystitis


Symptoms of cystitis in men are of moderate, severe and mild severity. How does cystitis manifest?


With exacerbated cystitis or exacerbated chronic pathology, the following symptoms are characteristic:


Urination process:



  • soreness;
  • difficulty;
  • frequent, false urges (especially at night).

Urina:



  • hematuria (traces of plasma in urine);
  • leukocyturia (purulent discharge in urine);
  • transparency - unclear;
  • the smell is unpleasant.

Other symptoms:



  • fever with mild symptoms;
  • decreased working stamina;
  • pain syndrome of the pubic area, genital organ;
  • pain localized in the groin and scrotum;
  • cervical shape and trigonitis - urine leakage;
  • burning sensation in the urethral canal;
  • aching joint and muscle pain, high fever.

Cystitis is chronic symptoms in men:



  • mild pain;
  • less disrupted urine emptying;
  • with cystitis with a chronic course, patients feel better than with an acute form.

Latent cystitis in men symptoms of its treatment. The disease often does not manifest itself in any way (lack of recognizable symptoms), the pathological process can only be identified by changes in urine and the results of cystoscopy. If there is an interstitial disease in a male, then there is frequent urination, persistent pain in the suprapubic zone. Men become irritable and depressed.



How the disease is diagnosed


In men, cystitis is not treated according to the same scheme. Examination by a urologist consists in finger palpation of the genitals, rectal examination of the glandular organ (finger), by the method of penetration through the rectum. This makes it possible to diagnose a man's genitals for the occurrence of cystitis provoked by adenoma, prostatitis, orchiepididymitis. After the examination, laboratory and instrumental studies are prescribed to detect the pathogen and clarify the nature of the inflammation.


Urinalysis allows you to determine the presence of:



  • leukocyturia;
  • hematuria;
  • mucus, fragments of desquamation of epithelial cells, pathogenic flora.

A blood test allows you to determine the complexity and peculiarity of the disease:



  • general blood count - increased leukocytes, eosinophils, ESR.
  • Culture from the urethral canal - identification of bacteria with their sensitivity to the active components of antibiotic agents.
  • PCR testing - detection of genital infections.
  • For a more extensive study, other types of diagnostics, immunogram examinations, biochemistry, PSA testing may be needed.
  • To prescribe an effective treatment, instrumental examination is also required (in the form of uroflowmetry, urodynamics, cystoscopy, ultrasound, cystography).


Medical manipulations to eliminate male cystitis


Cystitis in men symptoms possible treatment:


Based on the symptoms and the established diagnosis, highly effective treatment is prescribed to men. Usually, urologists in the treatment of cystitis prescribe medications, groups of antibiotics (Trimetroprim, Nitrofurantoin). With the resistance of bacteria to the active components of this group, other drugs are prescribed (Co-amoxiclav, Cefalixin).


It is necessary to treat cystitis in men not only with drugs, you should also adhere to some of the doctor's recommendations. During the course of medical therapy, sexual abstinence is required. Do not eat acidic urine (meat and dairy products, cheeses, eggs, grains). It is forbidden to take alcohol.


Patients should monitor their drinking regimen, daily should consume a sufficient amount of liquid (for every 10 kg of weight - 300 ml of liquid). Pain medication can be taken if necessary.