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Diagnostics and Treatment of Vesiculitis

Posted: 30 Apr 2018, 15:38
by Stoyanov
Diagnostics
Vesiculitis can be diagnosed by carrying out a broad range of laboratory tests. The doctor may suspect the disease based on the patient's complaints, as well as on general analysis of blood and urine. High white blood cell level and accelerated blood sedimentation rate indicate an inflammatory process in the body. The same goes for urine analysis: increased WBC and RBC count, blennuria - all testify to inflammation.

Final diagnosis shall be made on the basis of the following studies:
• Digital rectal examination.
• Rectal ultrasound of the prostate and seminal vesicles. It allows detecting such pathological changes as: increase of seminal vesicles, swelling, thickening and unevenness of their walls.
• Spermogram. Vesiculitis changes the amount of ejaculate, slows down its liquefaction rate, and reduces the active spermatozoa count.
• Bacterial inoculation of the secret of seminal vesicles. It allows identifying the pathogen and its sensitivity to antibiotics.

Treatment of Acute Vesiculitis

The acute form is treated primarily on an inpatient basis, however, in some cases, outpatient treatment is also possible. Being down with fever, the patient must remain at bed rest until normalized.

Acute vesiculitis requires a properly selected medication and physiotherapy treatment.

The prescribed treatment includes the following:
• Antibiotics. These must be selected taking into account sensitivity of the pathogen.
• Anti-inflammatory agents. They allow pain and inflammation relief in the tissues.
• Laxative. It will relieve pain in defecation and facilitate the process of evacuation of the bowels.

If there is a pronounced pain syndrome, the doctor will prescribe rectal suppositories to relieve pain.

Physiotherapeutic procedures for vesiculitis can be prescribed to improve blood circulation in the tissues affected by the disease and to normalize metabolic processes. These procedures can only be carried out after the key symptoms of the disease have been eliminated (fever, chills).

The acute vesiculitis treatment can be accelerated, effectiveness improved, if the below measures are taken:
• Warming up the perinea area.
• Microclysters with warm infusions of medicinal herbs.
• Sitting baths with warm herbal decoctions of medicinal herbs.

Ultrasound, laser therapy, magnetotherapy, electrophoresis and massage can be also recommended.

In addition to taking medications and performing procedures, the patient should keep to a diet to prevent intestinal obstruction. Enough vegetables and fruits, fish, sour-milk products, natural juices are advisable.

For the period of treatment of vesiculitis, the patient should abstain from products that increase flatus and have an irritant effect on the genitourinary system

The latter include the following:
• canned, fried, smoked, and fatty foods;
• acidic berries and fruits;
• carbonated drinks;
• coffee and strong tea;
• cabbage and beans;
• spices.

In the case of complications of vesiculitis and filling of seminal vesicles with purulence, surgical treatment is prescribed with draining the purulent contents. For a severe form of the disease, it may be necessary to remove the organ of concern. Otherwise, with a lack of proper medical care, the whole body can be affected!

Treatment of Chronic Vesiculitis

Treatment of chronic vesiculitis, despite the apparent “ease” of the patient's condition, is a long and rather complicated process.

The attending physician shall decide on the individual care taking into account the patient's condition. It includes medicinal, physiotherapeutic treatment, diet and alteration of the patient’s lifestyle. It is extremely important not only to undergo the entire course of therapy, but also to evaluate its effectiveness, and eliminate the infection from the body. For this purpose, a follow-up (control) examination should be performed every 4 to 6 weeks.

Unless chronic vesiculitis is treated thoroughly, the disease will soon remind of itself again.

Preparations for chronic vesiculitis include:
• Antibiotics. They are selected taking into account the sensitivity (according to the results of a bacterial swab test).
• Anti-inflammatory drugs.
• Alpha-blockers. To eliminate urination issues.
• Preparations for immune system correction (to increase the body's resistance to infections).

Comprehensive treatment of the chronic form includes the same physiotherapeutic measures as for the treatment of the acute vesiculitis.
In general, the principles of treatment for both forms of the disease are similar. The main difference is in the procedure for using antibiotics. Treatment of chronic vesiculitis provides for alternating courses, with the obligatory alternation of main active substance.

Prevention of Vesiculitis

To prevent the development of vesiculitis, it is necessary to treat the underlying disease, and also to implement a number of recommendations:
• Preservation. Where there is no confidence whether the partner is healthy, always use a condom during sexual intercourse. Sexual infections very often lead to the development of vesiculitis, and it is by no means always possible to diagnose and eliminate them on time. In some cases, they are hidden.
• Physical activity. Sedentary lifestyle will lead to congestion in the pelvic organs, and as a result to potency issues, inflammatory processes, including the development of vesiculitis. If the way of life involves prolonged sitting, get around to physical exercise. There are special series of exercises to prevent congestion in the small pelvis.
• Nutrition. It is necessary to limit or completely eliminate smoked products, highly salted, spicy, pickled dishes, and canned food. You also need to abstain from excessive alcohol consumption. Make more fresh vegetables and fruits a part of your daily diet.
• Sexual activity. Long-term abstinence has a negative effect on men's health. Therefore, it is important to have regular sexual relations, however, not excessively, since sexual hyperactivity is as harmful as the lack of sex.
• Health status. Improve systemic immunity and try to avoid hypothermia, physical fatigue, and lack of sleep.
• Chronic diseases. Detect and treat genital diseases in time. For this purpose, it is necessary to undergo a regular examination at least once a year.

Concurrent Conditions

In isolation, i.e., singly, vesiculitis is rare enough. The proximity and direct connection of the organs contributes to the spread of infection. Often, this disease is accompanied by the following problems:
• Prostatitis: inflammation of the prostate.
• Epididymitis: an inflammatory disease of the epididymis.
• Urethritis: inflammation of the urethra.
• Varicocele: venous dilation of the spermatic cord.

Therefore, upon detection of one disease, it is recommended to conduct a comprehensive examination, which will allow identifying all the existing problems and prescribing the appropriate treatment.