Prostatovesiculitis: causes and principles of therapy

CONTENT

• Causes and symptoms
• Diagnostics and therapy
• Additional measures

Prostatovesiculitis is a serious disease characterized by inflammation of the seminal vesicles and the prostate itself. We can say that it includes two pathologies at once, interconnected with each other.

Most often, the seminal vesicles become inflamed due to a chronic form of prostatitis. Sometimes the cause of the disease is urethritis, cystitis, viral infections, and tonsillitis.

The danger of vesiculitis lies in the high risk of developing infertility, which occurs due to adhesions in the tissues of the prostate gland and its ducts.

Prostatovesiculitis can lead to infertility, so do not neglect its treatment

Causes and symptoms

Most often, the development of vesiculitis is facilitated by prolonged inflammatory diseases, hypothermia, intestinal dysfunction, long-term abstinence from sexual intercourse, too intense sex life, physical inactivity, and dysfunction of the immune system.

There are two possible course of prostatovesiculitis.

1. With a chronic process, men experience unpleasant nagging pain in the groin area, anus, lower spine, and sacral area.
   Bloody inclusions appear in the semen. During ejaculation, discomfort often occurs, which over time leads to serious psychological problems and impaired potency. Not only does a man’s sexual activity suffer, but as a result of low-grade inflammation, pain when urinating also appears. If at the initial stage the symptoms of the disease do not bother patients much, then later, in the absence of drug therapy, they become more pronounced and interfere with living a full life. The onset of acute prostatvesiculitis is similar to other inflammatory diseases of the abdominal cavity and pelvis
2. With an acute process in the tissues of the seminal vesicles and prostate, the patient’s health deteriorates quite quickly. The disease begins with an increase in temperature and fever, accompanied by severe weakness, headache, discomfort in the perineum and intestines. During bowel movements and ejaculation, pronounced pain may also occur. Without treatment, the disease can lead to a serious complication - suppuration of the vesicles, which requires surgical intervention, because in this case, drug treatment is ineffective.

Inflammatory processes in the vesicles can spread to the entire male genitourinary system, including the testicles, which significantly increases the risk of loss of reproductive ability.

Due to the proximity of the reproductive organs, inflammation often affects several of them at once

Diagnostics and therapy

Most often, inflammatory processes in the prostate are diagnosed already at the first examination, at which the doctor necessarily conducts a rectal examination of the gland.

If the urologist suspects other pathologies of the genitourinary system in the patient, a referral for an ultrasound is issued. This method makes it possible to identify not only various disorders in the structure of organs, but also neoplasms and cysts.

Laboratory tests also show the presence of inflammation in prostatovesiculitis.

If a gonococcal infection is detected, the urologist prescribes a course of treatment with antibacterial drugs. To reduce the severity of inflammation in the prostate and seminal vesicles, anti-inflammatory drugs are prescribed.

Diclofenac suppositories can be used as an anti-inflammatory agent

Since the long-term course of pathological processes in patients weakens their immunity, the doctor selects a complex of immunomodulatory agents. Treatment of vesiculitis should first of all be aimed at eliminating the cause, which most often lies in the presence of a chronic urogenital disease in a man.

Very often, laboratory tests reveal several types of pathogenic microorganisms that cause inflammation.

In this case, the urologist prescribes a broad-spectrum drug that can suppress inflammation in a short time.

If an acute process is detected in the seminal vesicles, the patient is given antibiotic therapy in the form of injections, which are given twice a day. Prostatovesiculitis in this form most often requires hospitalization of the patient.

In acute forms of the disease, antibacterial agents are prescribed by injection.

Therapy with antibacterial agents for damage to the tissues of the prostate gland and other organs of the genitourinary system is the most effective.

Some patients may experience side effects during this treatment - dysfunction of the digestive system, tachycardia, insomnia, irritability, decreased immunity. To normalize intestinal function, you should take a course of drugs that restore microflora.

For hyperthermia, antipyretic medications are used. If the patient suffers from acute pain that interferes with proper sleep, urination processes that reduce performance, analgesics are prescribed.

If there are no cysts or other neoplasms in the prostate, a man is recommended to undergo a course of physiotherapy, including treatment with magnets, lasers, and electrical impulses.

The effect is carried out on the perineal area and allows you to relieve inflammation, reduce pain, and normalize the process of urination.

The enzyme preparation Lidaza has a resolving effect and stimulates tissue regeneration

Currently, doctors are increasingly prescribing enzyme therapy, which helps prevent the development of adhesions in the prostate tissue and its ducts, as well as vesicles. Additionally, absorbable agents may be prescribed in the form of suppositories, which should be used rectally. Suppositories are also prescribed for severe pain and acute inflammation of the gland.

Additional measures

The urologist usually recommends defecation on time, since accumulations of feces create additional stress on the genitourinary system and aggravate the course of inflammatory processes. It is advisable to empty the intestines daily. If you are prone to constipation, you should take special medications prescribed by your urologist and adhere to proper nutrition.

Proper nutrition is a necessary step on the path to recovery

During treatment, it is advisable to eat liquid meals, drink more water, and avoid flour products and salty foods.

Do not forget that addiction to alcoholic beverages leads to increased inflammation in the prostate and vesicles. It is also advisable to reduce coffee consumption, as it has a strong diuretic effect and causes dehydration and circulatory problems.

Prostatovesiculitis is a serious disease, so it is very important to follow all the doctor’s recommendations. You should not stay in the cold for a long time or swim in cool water. Particular attention should be paid to sexual contacts: they should not be too intense. It is very important to use condoms during treatment.

Using condoms will protect against re-infection

To prevent the development of congestion in the seminal vesicles and prostate, physical inactivity should be avoided. Moderate exercise and walking can improve blood circulation throughout the body, including the genitourinary system.

It is necessary to consult a urologist if any signs of disturbances in the functioning of the genitourinary system appear. You should not select medications and other medications on your own. It is important to remember that prostatovesiculitis is dangerous due to the development of abscesses and infertility.

In the video, a urologist will tell you more about vesiculitis:

Source: http://bolezni.com/stati-o-boleznyah/prostatit/prostatovezikulit.html

Course and treatment of prostatovesiculitis. Andrologist consultation

• Against the background of daily stress, predominantly prolonged sitting, and decreased immunity, men are faced with inflammatory processes in the prostate gland.
• In addition, inflammation spreads to other organs and becomes chronic.
• One such disease is prostatovesiculitis.
• Prostatovesiculitis is a disease that is accompanied by an inflammatory process that occurs in the seminal vesicles and at the same time in the prostate gland.

What it is

History of the disease

Prostatovesiculitis occurs due to the influence of bacteria as a complication of the inflammatory process in the prostate tissue . The causative agents of the disease are viral infections that enter the area of ​​the seminal vesicles through urine, blood flow, the oral cavity and even the respiratory system.

These are pathogenic bacteria: gonococcus, E. coli, staphylococcus and other pathogens. As a result of blood stagnation in the pelvic organs, prostatovesiculitis develops. It can be a consequence of diseases of the genital area: orchitis, urethritis, prostatitis, epididymitis.

Classification

Prostatovesiculitis is classified according to the degree of the disease into:

• acute prostatovesiculitis . Most often it begins with fever, headache and chills;
• chronic prostatovesiculitis . It occurs, accompanied by aching pain in the sacrum, perineum, and rectum.

The disease requires immediate treatment, as there is a risk of suppuration of the seminal vesicles, and inflammation can spread to neighboring organs.

Prevalence and significance

Prostatovesiculitis is more common in people suffering from chronic prostatitis, as well as in men who are older than average. The significance of the disease is high: if not treated in a timely manner, there is a possibility of irreversible infertility and problems with genitourinary function.

Risk factors

In most cases, the spread of the disease is facilitated by factors that provoke its development:

• congestion in the sacral area and in the tissues of the prostate gland, which most often arise due to weak sexual activity, due to a lifestyle associated with prolonged immobility;
• inattention to one's own health, susceptibility to colds;
• the presence of chronic prostatitis or other inflammatory processes of the genitourinary system.

In addition, after the age of forty, regular examinations should be carried out to identify disorders of the sexual sphere.

Causes and consequences

The main cause of the development of prostatovesiculitis is damage to the seminal vesicles by pathogenic bacteria.

Favorable conditions for their development are:

• chronic constipation, which creates a favorable environment for the development of microorganisms;
• excess weight prevents normal blood supply, including in the genital area;
• lack of sexual activity, resulting in the formation of congestion in the prostate gland;
• lack of physical activity leads to impaired blood supply;
• unbalanced diet, consumption of low amounts of vitamins and large amounts of saturated fats leads to a deficiency of microelements necessary for the normal functioning of all organs;
• a sedentary lifestyle leads to impaired blood supply to the genitals;
• perineal injuries contribute to the entry of microorganisms into the organic environment of the genital organs;
• hypothermia leads to decreased immunity.

1. The presence of concomitant inflammatory diseases that are asymptomatic or not treated leads to the formation of inflammation in the seminal vesicles.
2. Video: “Treatment of acute and chronic prostatitis”

Symptoms and diagnostic methods

Depending on how prostatovesiculitis proceeds, the symptoms of the disease are slightly different and have features:

• with acute prostatovesiculitis, a sharp increase in body temperature, fever, and headache occurs. When ejaculating, pain occurs. Pain may also occur in the groin area (most often on one side), especially during bowel movements;
• with chronic prostatovesiculitis, visible indicators of the presence of the disease can be expressed in the presence of blood discharge in the semen, accompanied by pain during urination and during erection, as well as aching pain in the groin, perineum, and pelvic area.

The presence of mucous discharge from the seminal vesicles from the penis, urinary disturbances and frequent urges may be an indicator of the presence of prostatovesiculitis.

Important! In the initial stages, the symptoms of the chronic course of the disease can be expressed quite weakly, which does not attract the man’s attention to the problem.

Therefore, even with minor visible deviations from the normal functioning of the genitourinary system, you should consult a doctor for diagnostic measures.

Diagnostics

Diseases are diagnosed using several methods:

• examination by a urologist, digital rectal examination to identify enlarged seminal vesicles;
• analysis of the secretion of the seminal vesicles to identify leukocytosis in their composition;
• analysis of urine and blood for the presence of leukocytes;
• ultrasound examination, which helps determine the structure and size of altered organs;
• transrectal ultrasound, which can be used to more clearly visualize seminal fluid vesicles;
• vesiculography (retrograde or puncture). With the retrograde method, urethroscopy and catheterization of seminal flows are performed.

Puncture diagnosis is carried out using an invasive method: polymerase chain reaction, which is rarely used due to its high cost and lack of information content.

If the results of analysis of spermogram and seminal secretion for the presence of a pathogen are available, the type of bacterium that causes inflammation is determined.

Treatment

In most cases, the disease is difficult to treat even at the initial stage of the disease, so therapy is carried out inpatiently. Treatment is carried out comprehensively: with medications, physiotherapy, massage and proper nutrition.

Drugs

Medicines that are aimed at treating prostatovesiculitis have multidirectional effects:

• antibacterial agents. Aimed at suppressing the activity of bacteria that cause the disease;
• antipyretics;
• enzyme preparations. In connection with the use of antibacterial agents, digestive activity may be disrupted, the microflora of the gastrointestinal tract may be damaged;
• laxatives. Problems with defecation caused by the disease are restored with the use of laxatives;
• NSAID drugs. Helps eliminate pain syndromes.

Important! Medicines must be taken in strict accordance with the doctor's instructions and under the supervision of a specialist.

When the inflammatory process decreases and there is no temperature, physiotherapeutic measures are prescribed (most often in the chronic form of the disease), warming the perineum with heating pads, and warm baths. If necessary, a microenema is prescribed. Massage of the prostate gland is important to stimulate blood supply to the organ.

Surgery

If suppuration occurs in the seminal vesicles, they resort to surgical removal of accumulated pus by puncture at the site of suppuration and washing it. In this case, local anesthesia is prescribed.

If chronic prostatovesiculitis has complications such as the formation of adhesions in the seminal ducts, the minimally invasive operation TUCSP (transurethral catheterization of the seminal ducts) is used.

The operation helps to restore patency of the vas deferens and restore fertility.

After surgery, intraurethral antibacterial and enzyme drugs are prescribed to prevent relapse.

Treatment at home

At the earliest stages of the disease, it is possible to eliminate or reduce symptoms.

In this case, you can use medicinal infusions internally, take warm baths (only in the absence of fever) with medicinal herbs, drink juices, and do enemas with medicinal extracts.

It is useful to take antiseptic decoctions orally to reduce inflammation and increase immunity. For this, chamomile, birch leaves, sage, lingonberry, horsetail, parsley root, and nettle leaves are used.

Medicines are used as part of complex therapy. To suppress pathogenic microorganisms, antibacterial therapy should be carried out, with the help of which their vital activity and harmful effects on the body are suppressed.

Diet

• Proper nutrition is part of the complex therapy of prostatovesiculitis.
• The main products that should be on the daily menu are: parsnips, onions, garlic, parsley, an assortment of fermented milk products, ripe berries, fruits, and plenty of liquid.
• Fish and meat should be consumed exclusively in boiled form.
• It is imperative to include in your diet foods rich in zinc (pumpkin seeds, seafood), which is necessary for the normal functioning of the prostate gland.
• You should exclude from your diet:

• alcoholic drinks;
• spicy dishes;
• salty food;
• marinades;
• flour products;
• strong tea;
• coffee;
• carbonated drinks;
• cocoa;
• chocolate;
• canned food

1. In addition, you should stop smoking and lead a healthy lifestyle.
2. Video: “Prevention of prostatitis”

Prevention

Since prostatovesiculitis is most often caused by the chronic course of the disease prostatitis, in order to prevent the disease it is necessary to cure prostatitis.

To prevent prostatovesiculitis, you must adhere to the following rules:

• avoid hypothermia;
• take physical exercise breaks during sedentary work;
• lead an active life;
• exclude alcohol;
• quit smoking;
• have regular sex life (exclude promiscuity);
• avoid prolonged sexual abstinence.

It is important to monitor your health: eat right, avoid stress, treat inflammatory diseases in a timely manner until complete recovery.

Forecast

The prognosis in the presence of acute prostatovesiculitis is more optimistic than in the chronic course , however, there is a danger of suppuration in the seminal vesicles. Timely consultation with a doctor can prevent the disease from becoming chronic and ensure a complete cure.

If the disease has become chronic, there is a risk of developing impotence and infertility. However, with complex treatment and following the doctor’s recommendations, the possibility of a cure is quite high.

Conclusion

Thus, inflammation of the seminal vesicles often occurs against the background of other diseases of the reproductive system, and can be caused by pathogenic bacteria that cause the inflammatory process.

Prostatovesiculitis is characterized by:

• painful course in acute form, mild symptoms in chronic form;
• can be treated comprehensively: with antibacterial drugs, physiotherapy, and other methods;
• if the cause is correctly identified, it is cured;
• therapy should be carried out in a hospital;
• the need to diet.

In addition, a healthy and active lifestyle, proper nutrition, and avoidance of bad habits can serve as a good prevention of the disease.

Source: https://kakbyk.com/bolezni/invektsionnye-i-vospalitelnye-zabolevaniya/protekanie-i-lechenie-prostatovezikulita.html

Causes of prostatvesiculitis and methods of its treatment

Prostatovesiculitis is an inflammatory lesion of the prostate gland and seminal vesicles.

Pathology develops as a response of the body to the penetration of pathogenic bacteria into the tissues and blood. The disease occurs in men, predominantly young and middle-aged.

Taking into account the characteristics and nature of the development of inflammation, its acute and chronic forms are distinguished.

It is important to contact a urologist to stop the pathological process at the initial stage, preventing it from becoming a protracted form.

Why does the disease occur?

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The prostate gland is involved in the production of secretion, as well as male sex hormones necessary for the full functioning of the body. The seminal vesicles end with the vas deferens.

The development of the pathogenic process in this part is preceded by infection, most often with a gonococcal pathogen. It can occur in two ways - through the bloodstream or through penetration through the urethra.

Since the seminal vesicles anatomically flow into the urethra, their inflammation can provoke a similar process in the urethra.

Circumstances contributing to the development of prostatovesiculitis are:

• Prostatovesiculitis most often occurs against the background of a genital infection.
  chronic diseases of the urogenital area;
• insufficient blood circulation inside the prostate and perineum;
• irregular sex life or, conversely, increased sexual activity;
• slowing down metabolism;
• previous perineal injuries;
• systematic hypothermia of the body;
• sedentary lifestyle, prolonged stay in one position;
• excessive body weight;
• lack of physical activity;
• nutritional errors: abuse of products with artificial processing aimed at creating an attractive appearance (dyes, thickeners, preservatives).

Inflammation of the prostate gland can be a complication of orchitis or epididymitis. No less often, persistent constipation in a man leads to the development of prostatovesiculitis.

Stagnation of blood and lymph in the pelvis is a favorable environment for the development of infection, which can come from outside.

Pathogenic microorganisms that cause inflammation of the prostate gland and spermatic cords are of bacterial origin (viral and fungal flora less often contribute to the development of this disease).

Read more: Sexually transmitted infections.

Symptoms

Inflammation affecting the genitourinary organs manifests itself with characteristic signs: due to their high intensity, they cannot be ignored. The acute stage of prostatvesiculitis is characterized by more severe symptoms compared to the chronic form of the disease. Since the second name of the disease is “spermatocystitis,” obvious signs of urogenital disorders are:

• Pain in the perineum and difficulty urinating may indicate prostatovesiculitis.
  Pain syndrome. The unpleasant sensation is localized in the perineum, spreading to the pubic region and the lumbosacral region. It affects the rectum, which deprives the patient of the opportunity to fully carry out the act of defecation.
• Difficulty urinating. There is discomfort in the bladder area. Each urination does not bring the feeling of emptying: it ends in burning pain with cutting. The volume of urine excreted is also reduced - it itself is cloudy due to the high content of leukocytes.
• Erectile dysfunction, lack of sexual desire. Sperm contains streaks of blood, erection is painful.
• General intoxication: increased body temperature, chills, aches inside the joints and muscles.

The lack of adequate treatment causes the disease to progress into a protracted form: its main symptoms are constant nagging pain in the sacrum and lower back, inability to empty the intestines and bladder; inhibition of sexual activity due to chronic pain, erection problems.

Complications

Symptoms as pronounced as discomfort, urinary retention, decreased potency should be a reason to contact a urologist or andrologist. Only timely examination and prescribed treatment will help eliminate the likelihood of complications.

Suppuration of vesicles. The most common complications are suppuration of the vesicles, which, in combination with a constantly elevated body temperature, serves as an indication for surgical intervention.

Epididymitis. Chronically inflamed seminal vesicles can involve the epididymis in the pathological process. This is how protracted bilateral epididymitis develops. An aggravated circumstance of such inflammation is infertility (its probability is quite high).

Sexual dysfunction. An equally serious problem that prostatovesiculitis threatens to develop in the absence of treatment is problems with potency, which not only entails a negative change in the quality of sexual life, but also reduces a man’s self-esteem.

Diagnostics

For diagnosis, you will need an ultrasound of the prostate and nearby organs.

Initially, the doctor performs a rectal examination of the prostate gland. It is possible to determine its inflammation already at this stage, but to establish additional parameters (excluding the presence of cysts, neoplasms), as well as to determine the level of blood supply to the prostate, an ultrasound scan of the pelvic organs, including the prostate, is performed.

Laboratory research methods include blood and urine tests, which determine the increased content of leukocytes. This indicates progressive inflammation that needs to be stopped.

Treatment

Basic treatment. If inflammation occurs as a result of infection with gonococcus, the doctor prescribes antibiotic therapy, anti-inflammatory drugs, immunomodulators - the means necessary to strengthen the body's protective properties.

Elimination of urogenital disease is the first priority for the treatment of prostatovesiculitis.

Broad-spectrum antibiotics will help combat the inflammatory process. They are prescribed in the form of injections (injections are given twice a day intramuscularly or intravenously).

However, there is a negative side to the action of antibiotics: drugs of this series reduce the amount of natural intestinal microflora. A long course of injections can cause diarrhea, an intestinal disorder.

In order to prevent the development of this condition, the specialist prescribes drugs that restore the microflora of the digestive tract - Linex, Nystatin, etc.

Symptomatic treatment. If the patient has a fever, antipyretics are prescribed. When pain interferes with the onset of sleep and does not allow you to perform even basic actions, the doctor will prescribe analgesics, and, if necessary, sleeping pills.

The other side of the treatment is physiotherapeutic methods - the urologist will prescribe electrophoresis, UHF or exposure to a magnetic field on the perineal area. All this will contribute to a faster recovery.

Other recommendations.

Throughout the treatment, as well as after it, it is important for the patient to empty the intestines in a timely manner - feces should not accumulate in the lower section, creating a load on the pelvic organs and causing inflammation.

Constipation is defined as the absence of bowel movements for 3 days. If a man is predisposed to this phenomenon, the doctor will prescribe laxatives and recommend changing the quality of food in favor of liquid, warm foods.

It is equally important to avoid hypothermia, dress in accordance with weather conditions, give up excessive sexual activity, normalize its quality, reduce and stabilize your weight.

In order not to aggravate the course of the disease, you need to visit a urologist at the first signs of a urogenital infection (pain, fever, problems with potency). The option of self-treatment, including traditional medicine, is excluded.

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Source: http://MenQuestions.ru/urologiya/prostatvezikulit.html

Vesiculitis and prostatitis: treatment of pathologies that occur together

Diseases of the urogenital area can bother men of any age. Inflammations can be acute, chronic, as well as general and specific. There are methods for diagnosing, treating, and preventing these conditions. It's worth checking them out.

Introduction to vesiculitis

The male hormonal system for regulating sexual function is represented by several organs. Each of them produces certain hormones and biological substances for reproductive and sexual activity. The products of these glands mutually reinforce each other and work in a complex manner.

1. Testicles.
2. Prostate.
3. Seminal vesicles (vesicles).

The testicles produce sperm, the prostate gland produces prostatic juice, which dilutes the sperm, activating it. The vesicles contain the liquid component of the seminal fluid for its energy supply. Their role is to maintain hormonal regulation of the male body, and locally - to implement sexual and reproductive functions.

Inflammation of the seminal vesicles is called vesiculitis. It can be provoked by pathogenic microflora.

The disease is most often a complication of prostatitis or urethritis, sometimes it is of a specific nature (ureaplasmosis, chlamydia, trichomoniasis).

Symptoms of inflammation can be independent or masked behind signs of the underlying disease.

Similar and distinctive features of prostatitis and vesiculitis

Inflammation of the prostate gland is called prostatitis. It is caused by various pathogenic flora and specific pathogens. The signs of the disease are as follows:

• pain in the suprapubic region, in the anus;
• difficulty urinating;
• erectile dysfunction;
• various mucous, hemorrhagic discharge from the urethra.

The symptoms of vesiculitis are similar to other inflammatory diseases of the urorectal area in men. Common symptoms include pain, erectile dysfunction, and urinary discharge.

The distinctive features of vesiculitis are the absence of difficulty in emptying the bladder. This is due to relatively little pressure on the urethra. This happens due to a slight increase in the seminal vesicles due to inflammation. In contrast to massive prostate hypertrophy with prostatitis.

Reasons for the development of vesicular prostatitis

The main cause of inflammation of the seminal vesicles is infection. The causative agents are standard “household” flora: E. coli, staphylococci. In the development of chronic vesiculitis, specific microorganisms play a primary role, which lead to urogenital inflammatory diseases:

• mycoplasma;
• gonococci;
• Treponema;
• ureaplasma.

When an infection enters the genital tract, its development and the appearance of inflammation are not a necessary consequence. Vesiculitis is promoted by a certain lifestyle. A triad can be identified that accompanies the occurrence of such a disease:

1. Physical inactivity (sedentary lifestyle).
2. Low sexual activity.
3. Weak immunity.

The lack of an active lifestyle contributes to poor blood circulation in the pelvic organs.

Any infection that enters the genital tract has the potential for rapid growth due to the low activity of immune cells in this region and poor tissue nutrition. All these are consequences of blood stagnation in organs and vesicles.

Sexual activity stimulates the rapid renewal of the secretions of the seminal vesicles, increases blood flow, and improves local immunity. In turn, excessive sexual intercourse leads to an increased risk of infection and overload of the antigenic defense of the urogenital organs.

Symptoms of the disease

Vesiculitis has special signs by which it can be suspected. Also, based on certain symptoms, it is possible to differentiate it from urethritis and prostatitis. The clinical picture of vesiculitis is characterized by the following manifestations:

• pain in the suprapubic region;
• pain during defecation, ejaculation;
• discharge from the urethra (mucous, purulent);
• the appearance of blood in semen.

Pain with vesiculitis can also disturb the rectum and anus, radiate to the penis or be localized near the bladder. The pain intensifies during defecation, erection, and intimate intercourse. Vasculitis may join, complicating vesiculitis.

Regardless of the brightness and clarity of clinical manifestations, a diagnosis cannot be made without laboratory and instrumental examination.

If inflammation of the seminal vesicles is suspected, the urologist prescribes a comprehensive diagnostic program. This is also necessary for differentiating vesiculitis from other diseases of the urogenital area.

This importance is due to the prescription of different methods of therapy depending on the condition, as well as the distinctive prognosis.

Diagnostic measures

The presence of inflammation in the body is confirmed by a clinical blood test, which reveals an increased ESR, leukocytosis, and a shift in the neutrophil formula to the left. Identification of the causative agents of vesiculitis is carried out based on the results of plasma testing for antibodies to them.

Such an analysis is done only in the direction where the microorganisms for which the laboratory technician will look for antibodies are clearly indicated. For this purpose, certain reagents are used; the cost of the analysis depends on the amount of antibodies sought.

There are no “random finds” in this kind of research.

The next method for diagnosing vesiculitis is a spermogram. For analysis, sperm collected directly in a medical institution through artificial stimulation is taken. When the seminal vesicles become inflamed, the following changes are observed:

• Visual appearance of mucus, pus, impurities.
• Under microscopy - a decrease in the number of living sperm, inhibition of their activity,
• The volume and pH of the ejaculate decreases.
• Bacteria are detected.

Ultrasound examination of the seminal vesicles reveals increased echogenicity, and Doppler ultrasound reveals an increase in blood flow. Ultrasound clearly shows hypertrophy of the organ and dilation of the ducts. With the calculous course of vesiculitis, stones are detected.

Types of treatment

Depending on the course of vesiculitis, various methods of therapy are used. If a purulent process occurs, treatment will necessarily be surgical in a urological hospital. The source of inflammation is opened and the pus is removed. In severe cases, vesiculectomy is performed. Sometimes drainage is required to improve the postoperative period and healing.

Chronic vesiculitis or prostatitis should be treated by a specialist. For catarrhal type, drug therapy methods are used. They are combined with external massage of the seminal vesicles and physiotherapy. Medicines used for vesiculitis:

• non-steroidal anti-inflammatory drugs (NSAIDs);
• antibiotics;
• repartees;
• rheological preparations;
• immunostimulants;
• vitamin complexes.

NSAIDs relieve signs of inflammation, relieve pain and swelling, restore blood circulation and patency of the ducts. They are prescribed by tablet or injection for a course of about 10 days.

Antibacterial therapy for vesiculitis involves treatment with various agents depending on the pathogen. They can be selected in accordance with the culture of smears carried out to identify the bacterium, taking into account their sensitivity to the drug. Agents acting on intracellular microorganisms and anaerobes (Metronidazole) are also used.

If there is not enough time to perform a culture, treatment with a broad-spectrum antibiotic is immediately started. "Methyluracil", "Solcoseryl" are reparants. Their therapeutic effect is not pronounced, but is very important for vesiculitis. They activate regeneration processes.

Treatment of chronic vesicular prostatitis should begin in a timely manner and continue until the cause of the disease is completely eliminated.

Consequences of prostatovesiculitis

Any acute diseases of the urogenital area can lead to chronic infection, as well as to the spread of the lesion to neighboring organs.

The danger of prostatovesiculitis also lies in the fact that partners exchange pathogenic aggressive bacteria and provoke constant infection with microflora during intimate relationships.

Therefore, treatment of sexually transmitted diseases must be carried out in two partners simultaneously with a regulated frequency of intimacy.

The negative consequences of prostatovesiculitis are complications related to the reproductive sphere.

This is caused by atrophy of the tubules of the vesicular vesicles, the effect of a constant inflammatory process on the maturation of sperm. Seminal fluid with vesiculitis can become azoospermic.

This means that the number of living germ cells capable of moving toward the egg and penetrating it is close to zero.

Even when chronic vesiculitis and inflammation of the prostate gland are defeated, the patient is forced to be treated by a psychotherapist to correct internal experiences and behavioral reactions.

Prevention of inflammation

There is no specific prevention of vesiculitis. In order to avoid its occurrence, it is necessary to follow the rules based on the pathogenesis of the disease:

• monitor urogenital hygiene;
• promptly treat inflammatory diseases;
• avoid stagnation in the prostate gland and seminal vesicles;
• maintain local and general immunity in an active state.

Summarizing specific recommendations for the prevention of vesiculitis, it is necessary to pay attention to the importance of a healthy lifestyle.

It includes physical activity, which stimulates the body's defenses and improves blood circulation.

A sufficient level of microcirculation promotes good penetration of immune system cells into organs and tissues, which prevents the proliferation of pathogens and the occurrence of vesiculitis.

Prevention of congestion inside the seminal vesicles also concerns adequate sexual activity. It prevents stagnation of seminal fluid. Abuse of intimate contacts, on the contrary, increases the risk of infection.

Source: https://UroMir.ru/vospalenie/terapija/vezikulo-prostatit-chto-ehto.html

Prostatovesiculitis: symptoms, causes, diagnosis, treatment

Prostatovesiculitis is an inflammatory process affecting not only the prostate parenchyma, but also the seminal vesicles. Pathology will be a response to an attack by pathogens - for example, gonococci, E. coli or fungal microflora. At the same time, an increased tendency to the disease is observed in young and middle-aged men.

Causes of prostatovesiculitis

The formation of an inflammatory process in the prostate and seminal vesicles is necessarily preceded by infection - an attack by pathogenic agents. The main routes of their penetration are through the bloodstream through the vessels, or directly from the urethra.

The causes of prostatovesiculitis may be as follows:

• chronic course of urogenital pathologies;
• deficiency of blood circulation directly in the prostate parenchyma;
• physical inactivity;
• irregular sexual intercourse;
• hypersexual activity;
• failure in metabolic processes;
• trauma to the groin structures;
• frequent local or general hypothermia of a man;
• prolonged forced stay in one position;
• lack of regular exercise;
• nutritional errors - the presence in the diet of products with GMOs, dyes, preservatives.

In some cases prostatovesiculitis , what it is , is only a consequence of orchitis or epidymitis suffered by a man. Sometimes it is possible to establish a relationship with chronic constipation. After all, stagnation of blood and lymph in the pelvis is a beneficial environment for the proliferation of pathogenic microorganisms.

To establish the true pathogen or provoking factor for the appearance of prostatovesiculitis, it is necessary to undergo a series of diagnostic procedures.

Symptoms of the acute stage

Acute congestive prostatovesiculitis occurs in a man, usually after hypothermia or unprotected sexual contact. The penetration of pathogenic microorganisms will contribute to the appearance of the following negative symptoms:

• increase in temperature parameters - up to subfebrile levels, less often - up to 37.8-38.5 degrees;
• pain impulses in the groin area, which can spread to the rectum, as well as the lower abdomen;
• increased discomfort will be provoked by physical activity, walking, as well as straining that accompanies the act of defecation;
• intimate meetings also do not bring the same joy - pain during sperm ejaculation gives a man a lot of unpleasant sensations;
• blood in semen;
• traces of inflammation can also be seen in urine analysis, as well as in the fluid obtained after massaging the seminal vesicles through the rectum;
• in severe acute pathology, the man will experience symptoms of intoxication - headaches, chills and aching joints, decreased appetite, sleep disturbance.

prostatvesiculitis - symptoms and treatment assessed exclusively by a doctor. Self-diagnosis, and even more so self-medication, only aggravate the situation and lead to severe consequences and complications.

Symptoms of the chronic stage

If a man does not seek medical help in a timely manner or with inadequate treatment procedures, the acute stage of the disease turns into chronic prostatovesiculitis .

Men with an inflammatory process in the prostate parenchyma will be bothered by the following symptoms for several months:

• discomfort and aching pain in the perineum, sacral spine or rectal area;
• dysuric disorders - various urination disorders;
• erectile dysfunction;
• there are streaks or drops of blood in the ejaculate;
• suppuration of the seminal vesicles provokes hyperthermia and increased pain.

To understand whether chronic prostatvesiculitis is a bacterial or fungal infection, a specialist will prescribe appropriate diagnostic research methods. If left untreated, chronic congestive prostatovesiculitis leads to male infertility.

Diagnostics

In order to establish the established inflammatory process in the seminal vesicles and directly in the prostate gland - diagnosis of acute or chronic congestive prostatovesiculitis , a specialist will recommend various examinations.

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So, already at the first consultation, a urologist or andrologist performs a rectal examination and palpation of the prostate through the rectum. Finger palpation allows you to determine an increase in the size of the gland itself, as well as the seminal vesicles.

A massage of the prostate and seminal vesicles allows you to obtain their contents. It is examined under a microscope. During the inflammatory process, leukocytes will be observed in large numbers in the secretion. If non-bacterial prostatovesiculitis , other pathogens, for example, fungal microorganisms, can be identified in the secretion.

Laboratory diagnostics - examination of blood, urine, semen only confirms the diagnosis already made by a specialist. Additionally, transrectal ultrasound, vesiculography, CT, MRI can be used.

Drug therapy for prostatovesiculitis

Having instrumentally confirmed the diagnosis of prostatovesiculitis, what it is, treatment should be selected by a specialist solely depending on the root cause that provoked the pathology.

However, complex drug therapy is required - drugs for local treatment, as well as systemic drugs. In the case of bacterial etiology of prostatovesiculitis, antibiotic therapy predominates in treatment - drugs from subgroups with broad antimicrobial activity.

They will suppress the growth and reproduction of pathogenic microorganisms. In addition, antipyretic medications, as well as anti-inflammatory and immunomodulatory medications are recommended.

It is in combination that all of the listed medications will help restore the full activity of the prostate gland and seminal vesicles in the acute course of prostatovesiculitis.

To facilitate the well-being of men with chronic prostatovesiculitis, treatment at the time of exacerbation also consists of an optimally selected pharmacotherapy regimen - antimicrobial, antimycotic, anti-inflammatory drugs.

During the period of remission, in order to prevent a relapse of the disease, traditional medicine recipes can be taken - decoctions and infusions of medicinal plants that have anti-inflammatory and antiseptic properties.

For example, chamomile, yarrow or marshmallow, heather, cornflower, lingonberry.

Other treatment methods

After the acute period of prostatovesiculitis has passed, the possibilities of treatment tactics are expanded many times - a specialist will prescribe various physical procedures.

Thus, methods of hardware magnetic therapy have proven themselves to be excellent - they increase local blood flow and help quickly eliminate the inflammatory process in tissues. Electrophoresis is no less effective - drug molecules penetrate deeper into the tissue, improving the activity of the prostate gland.

Warm local baths - hydrotherapy, have long been used to improve the condition of the reproductive organs. Schemes can be different - according to the composition of the water, its temperature, and the length of time spent in the bath.

If tissue suppuration occurs in the seminal vesicles, then surgical removal of the lesion cannot be avoided. Puncture is carried out under local anesthesia - the purulent cavity is cleared of contents and thoroughly washed with an antiseptic solution. Subsequently, massive antibiotic therapy is carried out.

Prevention

It is a widely known truth that it is easier to prevent any disease than to treat it later. In the case of prostatovesiculitis, this is more relevant than ever. A man must take care of his health at any age. Giving up negative habits, an active lifestyle and proper nutrition, protected sexual contacts - all this will help avoid the acute form of the disease.

Chronic congestive prostatovesiculitis and the gym go well together . After all, the absence of stagnation in the pelvis prevents exacerbation of the disease.

However, optimal physical activity should be selected individually. To always remain a man in the best sense of the word, you need to take care of your prostate gland from your youth.

Source: https://mzdorov.com/andrologia/vospaleniya/prostatovezikulit.html