Colliculitis: symptoms, diagnosis, treatment in Pyatigorsk. What is colliculitis: symptoms, diagnostic methods and features of the treatment of the disease

Colliculitis is a male pathology, which is an inflammation of the seminal mound or tubercle, which women simply do not have. However, in some cases, the treatment of colliculitis directly affects women. Why?

In the text you will find the answer to this question, draw necessary knowledge, which will make it possible to navigate in understanding the location of the pathology, the processes of its occurrence, methods of treatment, possible consequences and the prevention of colliculitis, and the photos, drawings and videos in this article will help visualize information.

The seed tubercle is anatomical education located on the back of the urethra in the area of \u200b\u200bits passage through the thickness prostate. It consists of smooth muscle tissue interspersed with connective tissue elements.

The seed tubercle performs important features needed for sexual intercourse. It is involved in the erection of the penis. Normal sizes mound - 2.0 x 0.2 x 0.3 cm, but during excitation, these parameters increase significantly because it contains a large number of venous plexuses that fill with blood.

The tubercle is also directly responsible for ejaculation and the duration of sexual intercourse, since it acts as an ejaculatory valve, and irritation of the numerous nerve receptors of the collicle, during the ejection of seminal fluid through its mouth, causes a sensation of orgasm.

A bit of anatomy. The male or prostatic uterus is a vestigial blind pocket at the apex seed tubercle, which is formed in the male fetus as a result of fusion of the Mullerian ducts. In women, they become fallopian tubes and uterus.

Forms of colliculitis and its causes

Primary (true) colliculitis is the result of deterioration of innervation and / or stagnation of blood and lymph in the body of the tubercle, which in turn arise due to:

venous congestion in the pelvic organs;
non-communicable diseases of nearby organs, for example, cystitis, cancerous tumors in the prostate, bladder, or colon;
others vascular disorders in the pelvic area.

According to the form of changes occurring with the tissue of the body of the collicle, the disease can take an erosive, granulomatous or polypous form, and depending on the degree of inflammation and the volume of smooth muscle tissue in the connective tissue, soft infiltration, hard infiltration and atrophic species colliculitis.

If the pathology is caused by inflammatory processes in nearby organs, colliculitis is referred to as a secondary (superficial) form. The nature of secondary colliculitis is infection genitourinary system. main reason the development of a secondary form of colliculitis is a bacterial or viral infection.

At diagnostic examination The most common causes of colliculitis are:

On a note. Identification of only one pathogen is extremely rare. Usually this is a combination of 3-4 representatives of opportunistic and pathogenic flora. Therefore, one should not be surprised at the appointment of a large number of antibiotics of different spectra of action.

However, most often colliculitis develops due to focal urethritis of that part of the wall of the urethra on which it is located. However, there may be other reasons as well. Among them inflammatory processes in the tissues of the prostate, seminal vesicles or epididymis.

There is also a specific colliculitis, the etiology of which is a tuberculous lesion of the seminal tubercle area. Therapy for this type of disease is carried out according to the treatment regimen for extrapulmonary tuberculosis.

Note. At present, cases of congenital hypertrophy of the seminal gland have become more frequent. This anomaly is treated only by surgery ( complete removal). Doctors tend to believe that such a defect is a consequence malnutrition and abuse of pregnant bad habits.

Risk factors

Men are susceptible to colliculitis:

having promiscuous sex life;
having unprotected sex;
often suffering from infectious diseases;
subjecting themselves to hypothermia;
often traumatizing the urinary canal;
not observing the rules of personal and intimate hygiene.

Symptoms

Colliculitis debuts with sudden discomfort in inguinal region. In the future, there is a gradual increase in signs and manifestations.

Colliculitis - symptoms in development:

sense of presence foreign object in the rectum;
tickling and slight burning in the upper urethra during urination, which are gradually replaced by pain, which is possible even during defecation;
the stream of urine during urination is thin and intermittent;
aching and / or stabbing pain in the perineum;
a sharp lumbago when trying to put pressure on a replaceable tubercle through the intestinal wall;
the appearance in the first portion of urine and in the ejaculate of bloody traces and / or pus;
false urge to empty the feces;
ejaculation, at the time of passage of solid stool during the act of defecation;
erection without sexual arousal and mechanical stimuli;
an increase in body temperature up to 38 degrees (possible, but not necessary).

With colliculitis, violations in the genital area also appear:

pain during intercourse and / or after its completion;
the sensitive force of an orgasm decreases;
the duration of copulation is reduced;
libido decreases;
ejaculation is interrupted by a sharp pain;
the erection is so weak that it does not allow full intercourse.

Diagnostics

If colliculitis is suspected, the diagnosis is clarified with the help of sequentially performed examinations and analyzes:

Inspection and palpation lymph nodes inguinal region, scrotum, foreskin, scrotum. Determination of the presence of secretions.
Palpation of the prostate through the anus.
Sperm culture for flora.
General blood and urine tests.
PCR for the presence of genital infections.

The main method for clarifying the diagnosis is ureteroscopy. By the way, this procedure, if necessary, immediately allows you to do a biopsy - pinch off a small piece of tissue for histological examination.

Treatment

In most patients, the treatment of colliculitis is conservative, and necessarily includes measures aimed at eliminating diseases of nearby organs, as well as eliminating non-urinogenic foci of infection.

The list includes:

prostatitis, vesiculitis, epididymitis, cooperitis,;
paraproctitis, hemorrhoids, fistulas of the colon;
pyoderma;
sinus diseases;
tonsillitis;
dental caries.

Surgical intervention (coagulation or resection) is possible if polypous formations and granulations are detected on the colliculus seed. Partial or complete transurethral resection of the tubercle is performed if irreversible sclerotic changes occur that block the exit of sperm, or the pathology is accompanied by purulent-obstructive vesiculitis.

Therapy of secondary colliculitis

Treatment of secondary colliculitis in men is based on the accurate identification of infectious agents and their sensitivity to antibiotics. Only after advising analyzes the doctor can pick up antibiotics and give a scheme for taking them.

Be prepared for the fact that antimicrobial and antiseptic medicines taken internally and locally. The remaining methods of treatment are carried out in the amount that is used to cure primary colliculitis, which are listed below.

Important! The medical instruction requires that the patient be warned so that he informs his sexual partners about the possibility of their infection, the need for testing and, possibly, mutual treatment with antibiotics. Women need additional consultation with a gynecologist.

Therapy of primary colliculitis

Etiotropic therapy of primary colliculitis excludes anti-infective treatment, although small courses of prevention are possible. Therapeutic measures are aimed at combating stagnation in the venous plexuses of the seminal hillock, in the vessels and tissues of the prostate gland, as well as in the veins of the pelvis.

Types of treatment	Preparations and procedures
Angioprotective therapy	Trental, Venoruton, Aescusan, Pentoxifylline, Agapurin, Dartilin, Obzidan, Heparin.
Immunotherapy	Solkourovak, Timalin, Y-globulins, Prodigiosan, Pyrogenal, Lidoprim, Levamisole, T-activin, Cycloferon, Neovir, rectal suppositories.
Restorative therapy	Vitamin-mineral complexes, preparations with calcium glycerophosphate, Fitin.
Local impact	Cauterization with a solution of silver nitrate, submersible electrophoresis with enzyme therapy.
Physiotherapy	Massages, sitz baths, panty mud applications and rectal tampons, microclysters with medicinal herbs, rectal UHF, electrolaser therapy.

Paint the complex physiotherapy exercises, which must be done both for primary and secondary colliculitis, we will not. Better watch the video exercise therapy exercises with colliculitis, vesiculitis and prostatitis. They will help men in the treatment of these diseases, the prevention of their occurrence and relapse.

On a note. In the presence of complications, the scheme of their treatment is selected by the doctor individually. Such therapy can be carried out with the main treatment of colliculitis simultaneously, in parallel or sequentially (after the inflammation has been cured).

Effects

Ignoring the symptoms of colliculitis in men and not treating it will inevitably end up with a sluggish chronic inflammation gradually spread to the entire urethra, go to the walls Bladder and prostate tissue. Infections are so insidious that they can rise through the ureters to the kidneys, gradually involving the entire urinary system in a chronic sluggish process.

Chronic colliculitis not only interferes with normal image life, but will definitely affect the sexual life:

the strength of sensations of orgasm will decrease;
discomfort, at the time of ejaculation or urination, will develop into pain;
the duration of sexual intercourse will gradually decrease;
the volume of blood saturation, and hence the elasticity of the penis during erection, will gradually decrease, which ultimately will not make it possible to conduct full-fledged sexual intercourse, and threatens to turn into complete impotence.

Important. Do not forget that chronic colliculitis caused by pathogenic flora in men is a constant source of infection of the sexual partners of such a patient, and infection of women of childbearing age with bacteria and their neglect of treatment leads to infertility.

Prevention

To prevent recurrence of the pathology, immediately after the end of the course of treatment of colliculitis, a course of Permixon is prescribed in combination with Omnik or Kardura, and after 3 months - Tadenan.

To prevent inflammation of the seed tubercle, you must follow simple rules:

give up casual sexual "acquaintances" and unprotected sex;
observe intimate hygiene;
do not enter into urethra foreign objects;
for any, even minor violations in the urogenital area, immediately contact a urologist.

The sooner the diagnosis is clarified and treatment begins, including for infected sexual partners, the easier it will be to defeat colliculitis and not get a “bouquet” from it serious complications and consequences.

Colliculitis is a disease in which the inflammatory process of the collicle (seminal tubercle) occurs. The collicle itself is usually represented by a small protrusion, which is located in the prostatic region of the urethra. This protrusion has maximum length about 2 cm and a height of 3-4 mm.

Usually, when a certain infection (pathogenic particles or venereal particles) enters the mentioned zone, it is always accompanied by the development of a rather acute inflammatory process. The colliculus itself is involved in the process in one hundred percent of cases. The clinical picture usually depends directly on the degree of development of the inflammatory process in the collicle. this disease. Whereas the development of colliculitis can be facilitated by unfinished sexual intercourse, which can provoke the development of stagnation in a particular area.

Most often, hypertrophy of the mentioned seed tubercle can cause difficulty urinating up to the development chronic delay urine or chronic renal failure. This disease also applies to congenital defects and is diagnosed in young children.

Most often, colliculitis develops as a result of the movement of an acute inflammatory process that began on posterior region urethra, in the epididymis or seminal vesicles, in the prostate. In some cases, this disease has a direct acute inflammation seed tubercle (here we are talking about the development of true colliculitis).

This so-called form of true colliculitis, in most cases, develops as a result of impaired innervation or blood supply to the seminal tubercle. This is most often observed against the background of acute infection or the presence of congestion in the pelvic area, specifically in the organs of this zone.

It should be noted that the penetration of infection in such cases is carried out exclusively by lymphogenous or by hematogenous route. The infection penetrates the seminal tubercle from neighboring or even distant organs of the small pelvis and the whole body (for example, from the rectum or even from the tonsils) and does its job.

In addition, the development of such an inflammatory process in the seminal tubercle may well be provoked by frequently practiced (usually for too long a period of time), prolonged or pre-interrupted sexual contacts. Inflammatory processes in the genitourinary system, which have passed into chronic form.

Symptoms

In most cases, the symptoms of colliculitis almost directly depend on the stage of the inflammatory process (already present in the body) or on the specific anatomical structure neighboring organs, as well as from the presence of the so-called extragenital pathology. The clinical picture will also depend on the mode of habitual sexual life, and even on the working conditions that affect a particular patient.

However, most often this disease is manifested by unpleasant and in some cases painful sensations that occur in the genital area or in the perineal area. In some cases, there are sensations of presence foreign body, which seems to be stuck in the anus, may be present hidden blood in the secretion secreted by the prostate gland, as well as blood in the primary portion of urine or even blood impurities in semen.

Quite often, in the presence of this disease, the nature of habitual urination can significantly change. For example, the urine stream may become too thin or there may be discontinuity. It is also possible to have a general weakening of orgasm, often there is a deviation in the form of erection function (accompanied by increased spontaneous erections that are not related to familiar things, and weakening of adequate reactions).

There may also be a decrease in the sensation of orgasm, it becomes more sluggish and may not always be achieved. In some cases, patients begin to notice the presence of unpleasant sensations and even severe discomfort, which borders on pain during standard ejaculation.

Diagnostics

Undoubtedly priority diagnostics in this case is the maximum precise definition a pathogen that could provoke the development of a similar inflammatory process in the body.

Usually, in order to completely exclude a certain infection that can only be transmitted sexually, and to detect clearly pathogenic or conditionally pathogenic microflora inside the genitourinary system, it is customary to conduct a number of studies, including:

conducting bacteriological culture free exudate from the urethra;

bacterioscopy of a swab taken from the urethra (urethra);

Quite often, DNA diagnostics of the collected scrapings from the urogenital canal is also performed, which is then examined by PCR (polymerase chain reaction). At the same time, it is in this way that it is possible to determine the presence of more than ten varieties of various infectious agents, which are usually transmitted only sexually.

But to detect various and multifaceted complications of the inflammatory process of the seminal tubercle, as well as to exclude the manifestations of certain diseases of a somatic nature, it is necessary to carry out:

ultrasound examination of the prostate and bladder;

a study of the secretion of the prostate gland is performed;

a general clinical analysis urine;

also indispensable without the standard clinical and more highly specialized biochemical analysis blood.

In some cases, it may be necessary to use innovative DNA diagnostics of the collected blood or urine, which is carried out to detect viruses in the materials, namely ureaplasma, mycoplasma, chlamydia, cytomegalovirus and herpes simplex virus.

Instrumental diagnosis of this pathology usually involves the use of ureteroscopy, which allows you to directly confirm the exact clinical picture colliculitis.

Prevention

Unambiguous and strict prevention of this pathology, unfortunately, does not exist in principle.

But still, strict adherence to certain conditions can make it possible to avoid acute infection with this disease and the manifestations of some congestion in the small pelvis, which are typical for the male:

It is necessary to be examined in a timely manner for infections that are usually sexually transmitted as standard, especially if you want to start a family.

It is advisable to refrain from sexual intercourse with a woman during menstruation or treatment of certain infectious diseases. gynecological diseases.

It is also worth refraining from dangerous unprotected sexual intercourse (not only vaginal, but also oral), especially with unknown women. In this case, a woman who has undergone an adequate examination for the absence of infections that are usually sexually transmitted can be considered a verified woman.

It is worth refraining from unverified anal intercourse, especially without the use of standard barrier protection.

Always in the absence or accidental rupture of a condom during sexual intercourse, it is advisable to use a drug such as Miramistin. This implies instillation (that is, infusion) of the drug into the urethra, after which the head of the penis is squeezed with fingers and held for about 15 minutes, after which it is worth urinating.

You should also try to avoid too long unresolved naturally sexual arousal, that is, without ending it with an orgasm.

Need to pass preventive examinations for the presence of sexually transmitted infections after having unprotected sex.

Regardless of the reasons, with the appearance of even slight discomfort or, moreover, pain in the perineum, groin, in the presence of discharge from the urethra and itching of the glans penis, one cannot self-medicate.

You should try to get enough physical activity. When you are overburdened at work and don't have time to exercise sufficient measure may be jumping rope at home or performing exercises using the Kegel method. This exercise involves performing rhythmic contractions (retraction and subsequent relaxation of the muscles of the perineum and the area anus). It is generally accepted that performing Kegel exercises, which can be safely performed at a banal meeting, standing at a traffic light or at a workplace, along with jumping rope, can become excellent tool prevention of many diseases. The fact is that such exercises perfectly stimulate local blood circulation (namely, in the small pelvis).

Equally important is the timely treatment and prevention of such primordially male chronic pathologies as epididymitis, vesiculitis and prostatitis.

Treatment

Always colliculitis therapy is specific process, so a simple purchase at a pharmacy of antibacterial drugs that are sold without a doctor's prescription in this case will not work, since in most cases you can only buy antibiotics at the pharmacy as much as possible a wide range actions. In this case, the main therapy is most important and, accordingly, the appointment of drugs that are strictly selected in a particular case, which can cope with the pathogen identified during the diagnosis.

Accordingly, it is precisely for this reason that the correct drug therapy in the presence of colliculitis can be prescribed to the patient strictly individually, if there are specific indications for this. It is not difficult to guess that only in this case the patient can be completely sure that the therapy in his case will be successful without a doubt.

It must be understood that, in addition to the specific drug treatment, during the treatment of colliculitis, drugs for topical (local) use may be required. Quite often, treatment involves the use of concentrated solutions (usually silver nitrate preparations). Urethral installations can be used, and in case of severe hypertrophy of the inflamed tubercle seminalis, it may be necessary to perform electroresection, which contributes to the normalization of the process of urination in the usual way.

In addition, the therapy of this disease implies the observance of maximum sexual rest, while in the case of a permanent sexual partner, the latter is highly recommended to be examined for infections and, if necessary, also treated.

Colliculitis is not an isolated disease, but a complication of other pathologies of the male genitourinary system. Most often, it develops as a consequence of prostatitis, characterized by inflammation of the seminal follicle or tubercle located on the back wall of the urethra in the area of the prostate gland. Manifestations of colliculitis are quite painful, therefore, usually men do not delay treatment and consult a doctor at the first symptoms.

Why the disease develops

The seminal follicle, despite its small size, is an important organ in the male reproductive system. Its dimensions are only no more than 2 cm in length and 0.5 cm in height and width. But it is precisely in this small bump ducts open, through which seminal fluid from seminal vesicles. And he is mostly responsible for the onset and quality of orgasm in men, since here is great amount nerve endings.

The seminal tubercle is located behind the urethra and prostate, therefore it is reliably protected from injury and mechanical damage. It becomes inflamed only due to an infection that can get into it after such past or existing diseases:

prostatitis;
urethritis;
vesiculitis;
epididymitis.

Moving the infection out of the urethra usually occurs during sexual intercourse.

Also, frequent constipation, sedentary work, little moving image life. It is extremely rare for an infection to enter the seminal follicle along with the bloodstream if some other is inflamed. internal organ patient.

Important: many urologists are of the opinion that any chronic diseases can provoke the development of colliculitis urinary organs men, as well as deliberately interrupted for the purpose of contraception or prolonged sexual intercourse.

How to recognize colliculitis

The symptoms of this disease are quite diverse, the degree of their severity depends on physiological characteristics each man - it can be acute, moderate or weak. The most common complaints are:

pain in the groin, while the pain may radiate to the thigh or scrotum;
feeling of pressure, the presence of a foreign body in the anus;
painful urination, often difficult;
after sexual intercourse, streaks and blood clots can be found in the seminal fluid;
uncontrolled erections;
decreased sensitivity during intercourse and the intensity of orgasm.

The manifestations of colliculitis are largely determined by general condition patient and the severity of the disease.

Read also: Testicular hypoplasia: features of the pathology, causes, treatment

In acute severe forms pain can be very severe, especially if inflammation of the prostate or urethra is noted in parallel. In the absence of other signs, they may be vague and hardly interfere with the patient's quality of life.

Diagnostic methods

Self-diagnosis and even more self-treatment in this case are completely excluded - colliculitis refers to those diseases that even a qualified doctor cannot always recognize without a comprehensive examination. In addition to questioning and examining the patient, the following diagnostic measures are prescribed:

Urethroscopy.
PCR - testing to identify the infectious agent that causes the disease;
General laboratory analysis urine.
Bacterial culture of urine and seminal fluid.

Based on the results obtained, the urologist makes a conclusion, diagnoses and selects the most appropriate treatment - also strictly on an individual basis.

Colliculitis Treatment Methods

The main goal of treatment is to suppress the growth of pathogenic microflora, relieve pain and inflammation. For this, antibiotics of narrowly targeted action are used. Universal antibacterial drugs a wide spectrum of action in pathologies of this kind will not give a good effect. Because the doctor selects the medicine to active ingredient which pathogens are susceptible.

You can treat colliculitis at home, but doctors often advise visiting day hospital or a treatment room for such manipulations:

instillations (washing) of the urethra with antiseptic solutions;
physiotherapy - electrophoresis, light treatment;
quenching with silver nitrate.

The course of treatment with antibiotics and other means usually takes from seven to ten days. If the treatment turned out to be ineffective, or if the disease was initially severely neglected, and the seminal tubercle increased significantly in size, an operation will be needed. Afraid surgical intervention not worth it - with the help of electric currents, a hypertrophied seminal tubercle will be resected. Such a procedure will not affect the quality of a man’s sexual life in any way, the ability to experience an orgasm, as well as erectile function, will not be violated. But urination will be noticeably easier, pain and discomfort will go away.

Folk remedies for the treatment of colliculitis

The effectiveness of medical and physiotherapy treatment can be enhanced by using simple and affordable folk remedies. For oral administration, such means are suitable:

Fresh cranberries. It can be used in in kind or as freshly squeezed juice. Adding sugar is not recommended.
Infusion of parsley roots. This drink has not the most pleasant palatability, but it is very useful for men both as a therapeutic and as a prophylactic. For cooking, peel one medium parsley root and chop it, pour a glass of water and cook in a water bath or very low heat for 20 minutes. Then let cool under the lid, strain and take one third of a glass before meals.
Infusion of blue cornflower flowers. A handful of fresh flowers or a tablespoon of dry ones should be placed in a thermos, pour two cups of boiling water, close tightly and insist all night - at least 8 hours. Then strain and drink half a glass three times a day. The same infusion can be used for lotions.

Features of colliculitis

This pathology is characterized by an inflammatory process of the collicle or seminal tubercle. This tubercle has the form of a small protrusion, concentrated in the urethra, and more precisely in its prostatic region. This ledge in length does not exceed two centimeters, in height it can reach up to 4 millimeters.

If pathogenic microorganisms or venereal infection in the zone described above, the development of an inflammatory process of an acute nature begins. In all cases, experts note a 100% lesion of the tubercle itself. Symptoms will depend on the stage of the inflammatory process occurring in the collicle. Often this pathology develops against the background of unfinished sexual intercourse, contributing to the appearance of congestion in the above area. Termination normal functioning the collicle leads to problems with urination. In this case, not only chronic urinary retention occurs, but also chronic kidney failure. This disease is related to congenital diseases. Quite often, pathology is diagnosed in young patients.

Often, the disease appears after the migration of the inflammatory process, which is acute in nature, from another area. Previously, it can be concentrated in the epididymis, seminal vesicles, in the prostate, and also in the posterior urethra. In some cases, the pathology is expressed in inflammation of the seminal protrusion itself, then specialists are dealing with true colliculitis. Most often, this form of the disease is due to a violation of the blood supply to the seed tubercle, as well as a violation of its innervation. Such a development of events may occur as a result of an acute infectious process, as well as with the appearance of stagnant processes in the organs localized in the small pelvis. In such cases, the penetration of pathogenic microorganisms is carried out by the lymphogenous or hematogenous route. To the seed protrusion, the infection can move from organs very distant from it, for example, it can be both the rectum and infected tonsils. On the appearance of an inflammatory process in the collicule big influence have interrupted sexual intercourse, carried out for a long time. This also includes sexual acts that are extremely prolonged in time. Can also contribute to the appearance of pathology various inflammations having a chronic form and localized in the genitourinary system.

Symptoms of the disease

The symptomatology of the disease in almost all cases is closely related to the stage of development of the inflammatory process, and also depends on the state of the organs adjacent to the collicle. Development pathological process can be complicated various diseases these organs. Symptoms in each case may differ depending on the mode of sexual life of patients, as well as on the conditions of their work. However, in most cases, people begin to complain about the appearance discomfort, often turning into painful, noted in the perineum or at the level of the genital organs. Often patients complain of sensations of a foreign object concentrated in the anus. Many patients notice the appearance of blood impurities both in the ejaculate and in the urine. It can also be found in the secretion of the prostate.

In the presence of this disease, men begin to notice a change in the nature of urination. For example, there is an intermittency of the urine stream or its significant thinning.

Experts note in such patients a weakening protective functions organism. Quite often they have problems with erection. Representatives of the strong half of humanity are faced not only with the appearance of spontaneous erections, but can also note their significant weakening. Some of them have trouble reaching orgasms. When ejaculating, many men begin to experience enough severe discomfort which can turn into pain.

Diagnostic measures

Doctors as a matter of priority try to identify the causative agent of the infectious process, which became the culprit of the appearance this disease. For this purpose, patients are asked to undergo a series of special surveys in order to exclude certain pathological microorganisms, sexually transmitted. It is also necessary to identify the flora, which is both pathogenic and conditionally pathogenic. Specialists prescribe the following examinations:

DNA diagnostics of a scraping taken from the urogenital tract. The study is carried out using the polymerase chain reaction method, which can be used to determine significant amount sexually transmitted infections.
Bacterioscopy of a smear obtained directly from the urethra.
Bacteriological seeding of biomaterial collected from the urethra.

In order to exclude certain somatic diseases, as well as to identify various complications associated with this pathology, doctors prescribe the following studies:

ultrasound examination of the bladder, as well as the prostate gland;
conducting a general urine test;
biochemical, as well as a clinical blood test;
study of prostate secretion.

In some cases, experts prescribe a DNA diagnosis of the collected urine or blood. This is necessary to detect the DNA of the following viruses:

mycoplasmas;
cytomegalovirus;
herpes virus;
chlamydia;
ureaplasma.

To determine the exact picture of inflammation of the seed tubercle, specialists often use standard diagnostics using ureteroscopy.

Preventive measures

Unfortunately, at the moment there are no unambiguous preventive measures this pathology. However, in order to avoid the occurrence of this disease, as well as stagnation in the pelvic area, men should adhere to the following rules:

It is better to completely abandon sexual intimacy with a woman during her period. critical days, or during the period of her treatment of gynecological diseases of an infectious nature.
Do not forget about the periodic examination for the presence various infections, in most cases sexually transmitted. This point is especially important before the planned marriage.
Unprotected intercourse should be stopped. This applies to both oral and vaginal sex. This is especially true of relations with unfamiliar representatives of the fair sex. To avoid transmission of infection, it is desirable that the woman with whom intimacy, was examined for the presence of pathological microorganisms, sexually transmitted.
Without the use of appropriate contraceptives, you should also refrain from anal sex.
In advance, a specialist should be consulted about the use of Miramistin. This knowledge may be needed if the condom is accidentally damaged during intercourse. The specialist should explain the correct instillation of the drug into the urethra. In the future, the man must squeeze the canal in the region of the glans penis, and then hold it for 15 minutes. After this manipulation, the bladder should be emptied.
Don't forget about harmful effects on the male body prolonged in time, and not ending in orgasm, sexual arousal.
In any case, you can not self-medicate. With the appearance of discharge from the urethra, as well as with the occurrence pain in the groin or perineum, you should seek qualified help. This must be done when there is a burning sensation in the head of the penis.
Men must not forget physical activity. This rule mostly refers to people who sedentary image life. In the absence of the opportunity to visit the gym, experts recommend that such people do exercises at home. Jumping rope is best in this case. Patients should exercise the muscles of the anus and perineum. To do this, you need to rhythmically draw them in, and then relax. Such exercises can be performed in various situations, such as at the workplace or while standing at a traffic light. Together with rope exercises, such exercises can serve as an excellent prophylactic from many ailments. Just do not forget about their regular implementation. Positive effect These exercises are explained by the improvement of blood circulation in the pelvis.
To save your men's health, representatives of the strong half of humanity should also pay special attention timely treatment epididymitis, vesiculitis and prostatitis.

Treatment

Men, in the treatment of this pathology, can not self-medicate. Colliculitis cannot be cured by buying at random in a pharmacy antibacterial agent, which can only be purchased due to the fact that it does not require a prescription. First, you should visit a doctor in order to determine the causative agent of the infection. Treatment with specific medicines coping with the pathogens of this disease will be appointed by a specialist only after the study.

The result of treatment will be successful only if the diagnosis is established, as well as the appointment of treatment experienced doctor. In this case, only a professional will be able to select the appropriate drug therapy according to individual indications. In order to eliminate the disease, in addition to the use of specific drugs, can be used various means for local application. Often, patients are prescribed various physiotherapy manipulations. Among them, shading can be distinguished. It is produced using concentrated chemical solutions. Silver nitrate is often used for this purpose. Specialists also appoint installations of the urethra. With significant hypertrophy of the inflamed collicle, electroresection may be prescribed. With its help, you can achieve the normalization of the process of urination. During the treatment of the disease, a man should give up sexual activity. If such a patient has a regular sexual partner, then he should also undergo a medical examination and, possibly, further treatment.

Colliculitis in men

Collicula - a formation in the prostatic part of the urethra, called a tubercle. Inflammation of this formation is called colliculitis in men, the treatment of which often differs from the treatment of simple chronic prostatitis

Colliculitis in men: symptoms, treatment.

This pathology is often burning for men, which takes them out of their comfort zone. Everyday life. The symptoms associated with this disease bring a lot of problems for a man in terms of urination, as well as in the genital area.

If this disease is not treated, then you can get the progression of such difficult symptoms as:

mechanical (postrenal) anuria.
partial retention of urine.
pain that occurs during urination or shortly after this act.
violation of male libido, weakening of orgasm or its complete absence.
impurities in the secreted prostate juice, including bloody.

Treatment of this pathology is to influence the factors that contributed to its occurrence:

impact on the infectious agent inside the prostate, as well as sanitation of other foci.
refusal to masturbate.
more mobile lifestyle.

Colliculitis in women

Colliculitis in women: symptoms and treatment

A disease such as colliculitis cannot occur in females due to the anatomical absence of such an organ as the prostate.

If a woman is firmly convinced that the symptoms she feels are signs of this particular disease, unfortunately, these are signs of a mental disorder.

For a deeper examination when symptoms are felt, symptom-like colliculitis should consult a specialist. He will make the correct diagnosis and prescribe the appropriate treatment.

Colliculitis: what is it? Colliculitis is an inflammation of the seminal tubercle infectious etiology. The seminal tubercle is a 1.5 cm high prominence on the prostate near the bladder. When an infection enters it, inflammatory processes begin.

The disease begins with inflammatory processes of the tissues located around the seminal tubercle.

The impetus for the development of colliculitis is:

urethritis;
cystitis;
the onset of prostatitis, when the infection penetrates the seminal tubercle.

Perhaps the development of inflammation directly in the seed tubercle, due to circulatory disorders or innervation in its tissues.

The infection enters the seminal tubercle from:

urethra;
prostate;
seminal vesicles;
epididymis.

Microbes can enter the seminal tubercle during intercourse, especially when practicing unprotected anal sex.

The cause of inflammation may be:

fluid stagnation in the seminal tubercle due to interrupted;
prolonged sexual intercourse.

For this reason, colliculitis has been popularly called the "disease of restrained men." Restraint of ejaculation during sexual intercourse provokes stagnation in the pelvic organs, as a result of which normal blood circulation is disturbed.

Thus, colliculitis is purely male disease. AT female body the seed tubercle is absent, therefore, such a disease does not threaten them. Treatment of the symptoms of colliculitis in a woman is the treatment of another disease of the female genitourinary system.

REFERENCE! An infected partner can infect a woman during intercourse. But the resulting infection is completely different.

Classification

Depending on the causes, location, intensity, the following types diseases:

True colliculitis- occurs due to circulatory disorders and congestion in the seminal sac. Provoke the process of infection constipation, interrupted sexual intercourse, sedentary work.
Primary colliculitis- develops due to the entry of pathogenic microflora into the organ through the prostate. Inflammation first develops in the urethra, then penetrates into the seed tubercle. The infection can penetrate the tissues during unprotected, oral or anal intercourse.
Reactive (secondary) colliculitis- a complication of inflammation when microorganisms penetrate into the seminal tubercle with lymph or blood. The infection can enter downstream, with bowel diseases, cholecystitis, inflammation of the kidneys, or ascending - with urethritis, prostatitis, vesiculitis, epidymitis.

Colliculitis It goes through several stages in its development:

acute form- bright severe symptoms at the onset of the disease.
Chronic form- as the disease progresses, the symptoms are somewhat smoothed out. Irreversible processes take place in the seed tubercle.

Depending on the nature of inflammation, colliculitis is divided into 4 forms:

Soft infiltration- inflammation has affected a small area and a small amount of connective tissue has formed.
Solid infiltration- the structure of the organ includes a large amount of connective tissue.
atrophic form- the tissues of the seminal tubercle are completely replaced by connective cicatricial ones. With this form, the size of the seed mound decreases as the clearance decreases.
Cystic form (cystic colliculitis)- polyposis and cystic growths develop in the seed tubercle.

Diagnostic methods

The urologist deals with the treatment and diagnosis of colliculitis. The examination is quite difficult, since the symptoms of colliculitis are similar to other diseases.

Diagnostics is carried out by the following methods:

Questioning the patient to collect anamnesis. At this stage, the patient should get rid of embarrassment and tell the doctor about all the details of his own feelings. Otherwise, some symptoms will be hidden from the doctor, and put accurate diagnosis it will be difficult.
Analysis of urine, blood.
Rectal mechanical examination.
Bacteriological examination (crops, smear analysis) of the ejaculate and spermogram preparation.
PCR - diagnostics. This method allows you to identify a specific pathogen in the samples.
Ureteroscopy - a camera is inserted into the patient through the urethra. This technique allows you to diagnose colliculitis with absolute certainty.
Ultrasound of the genitourinary system.

Colliculitis in men: symptoms and treatment

The specific manifestation of colliculitis depends on the stage of development of the disease, the condition of the organs surrounding the seminal tubercle, working conditions and the mode of sexual life of a man and other factors. Manifestations of colliculitis are strictly individual.

Colliculitis symptoms:

Violation of urination. The stream of urine becomes thinner, becomes intermittent, as the inflammatory process provokes a thickening of the seminal tubercle and squeezing of the urethra.
Erectile dysfunction. Erection weakens during intercourse. Orgasm becomes unexpressed. During ejaculation, pain occurs.
Discomfort in the groin, sensation of swelling in the anus. A man experiences the presence of a foreign body in the anus.
Burning, stabbing pains in the lower abdomen, scrotum, perineum. At severe inflammation Pain is given to the area from the navel to the knee.
Involuntary erection and ejaculation, for example, during the act of defecation.
Admixture of blood in urine and semen.

Competent specialist after complete examination appoints complex treatment colliculitis, which allows you to completely rid the patient of pathogenic microflora. Tactics of treatment depends on the stage and form of the disease.

Application drug therapy. The patient is simultaneously prescribed:

local impact.

Simultaneously with taking the drug inside, antiseptic solutions are used for instillation of the urethra. To reduce pain syndrome in acute stage disease, cauterization (extinguishing) of the seed tubercle with silver nitrate is used.

The urethra is washed with drugs:

Miramistin;
Chlochhexidine;
effective application rectal suppositories with propolis.

Physiotherapy. The following methodology is applied:

Physical activity and special diet.

IMPORTANT! During an exacerbation and treatment of colliculitis, doctors forbid a man to have sex. The patient's partner is recommended to without fail be examined and treated for possible infection.

Folk remedies

Traditional medicine has large quantity recipes that can affect the dynamics of recovery of patients with colliculitis.

Beneficial effects are exerted by:

Complications and prevention

The treatment of colliculitis must be taken seriously, because otherwise serious complications cannot be avoided. The spread of infection leads to the degeneration of tissues, the growth of the seed tubercle. Impaired urination leads to stagnation of infection in the urethra and bladder.

Against this background, concomitant inflammatory processes may occur. The infection will lead to erectile dysfunction and subsequently to complete impotence.

In advanced cases, surgical intervention cannot be avoided. The overgrown seminal tubercle is subjected to electroresection - the doctor removes modified tissues with an electric knife and normalizes urination.

IMPORTANT! Urologists do not recommend using in the acute stage of the disease alcohol tinctures with herbal extracts, as their effect is difficult to control. This can cause burns of the mucosa and aggravate the course of the disease.

To avoid the development of the disease, men should adhere to the following recommendations:

The health of the male genitourinary system - important aspect his life. neglect unpleasant symptoms colliculitis and promiscuity is fraught with sad consequences. It is important to carefully monitor your own body, recognize the signs of a developing disease and contact a urologist in time.