Caverns - an inflammatory process that occurs in the cavernous (cavernous) bodies of the penis. Cavern is accompanied by a painful compression of the penis, its swelling, skin flushing, spontaneous erectile dysfunction, fever, intoxication syndrome. Perhaps the formation of an abscess of the cavernous body, followed by a breakthrough abscess in the urethra. Diagnosis kavernita includes holding ultrasound of the penis, PCR and bacteriological study of crop discharge from the urethra, if necessary - cystoscopy. In the treatment of acute kavernita used antibiotics, physiotherapy. When festering abscess autopsy shows; when fibrous deformation of the penis - falloprotezirovanie.
Cavern - infectious inflammatory disease of the penis, characterized by lesions of the cavernous (cavernous) bodies. In urology and andrology serangitis it occurs much less frequently than the other inflammatory diseases of the male genital system (urethritis, prostatitis, orchitis, epididymitis, balanoposthitis, etc.). However, cavities is very dangerous pathology, the effects of which can affect the quality of sexual activity and male fertility. Therefore, every man must be aware of the possible causes, symptoms and complications kavernita.
The penis is formed of two cavernous (cavernous) bodies and one spongy (spongy), the body that are covered from top to easily dislodged skin. The right and left cavernous body are cylindrical in shape; in their structure isolated distal portion (apex, apex), a middle portion and a proximal portion (leg). In parallel, the ventral surface of the corpus cavernosum is the spongy body of the penis, which is held in the interior of the urethra. In caverns in the inflammatory process may be involved not only the corpora cavernosa, and the spongy body of the penis. The main functionality of the corpus cavernosum is to achieve and maintain an erection. Therefore kavernita danger lies in the fact that the disease may contribute to erectile dysfunction.
Caverns may result from direct trauma or infection to the cavernous body of the penis. In the first case, the development of kavernita precede penile trauma or surgery, accompanied by damage to the corpora cavernosa. Postinjection serangitis results from intracavernous administration of drugs or other chemicals. Bilateral serangitis may be a complication of long-term bladder catheterization permanent Foley catheter.
Infectious cavity in most cases is a complication of acute nonspecific or specific urethritis (usually gonorrhea etiology). Thus pathogens can invade the cavernous body as hematogenous route, and in micro-traumas urethral mucosa smear at a fence. Lymphatic spread to the cavernous body of infection observed in the presence of common chronic inflammatory diseases (carbuncle, sore throat, dental caries, sinusitis, osteomyelitis, sepsis, and others.). A special form of inflammation of the corpora cavernosa is syphilitic cavities.
Depending on cavernitis of inflammation can be acute or chronic (spongiosa). At the same time an acute inflammation of the corpora cavernosa may be limited or diffuse, one- or two-way.
Given the origin of isolated two forms kavernita - pereloynuyu and syphilitic. When pereloynom caverns with inflammation of the mucous urethra extends to the submucosal tissue, and then on the sponge and the corpus cavernosum. The consequence of these processes is the formation of painful nodules, which are under the influence of treatment may completely dissolve or remain in place, leading to zapustevaniyu corpus cavernosum and the deformation of the penis. It is also possible abstsedirovanie node followed breakthrough pus inside or outside the urethra.
Syphilitic serangitis observed in patients in the tertiary period of syphilis. Inflammatory nodules (gumma) primarily occur in the cavernous bodies of the penis, it is difficult to treat, but usually does not disappear.
Clinic of acute kavernita is pronounced; with inflammation symptoms occur suddenly and are developing at lightning speed. Acute serangitis usually manifests with febrile fever (38-39 ° C), chills, weakness, headache, inguinal lymphadenitis. There is a sharp pain in the penis; long, almost smooth spontaneous erection causes difficulty urinating, sometimes - acute urinary retention. When unilateral inflammation of the corpus cavernosum penis is curved toward defeat. Even with decreasing erection persists swelling and thickening of the penis, flushing of the skin. On palpation of the penis, in the course of the corpora cavernosa palpable dense infiltration, touching which causes a sharp pain.
The next step in the development of acute kavernita is abscess formation, which is often revealed in the urethral lumen. Breakthrough abscess accompanied by improvement of general well-being, reduced pain and swelling of the penis, urethral discharge large amounts of stinking pus. However, there is pus rejection necrotic connective partitions the corpus cavernosum, which further accompanied by a violation of blood filling caverns, and leads to erectile dysfunction.
After opening the abscess comes the stage of sclerosis: on site Drain the abscess formed scar tissue, causing the curvature of the penis during erection (Peyronie's disease). This also makes it difficult to sexual intercourse or makes it impossible to conduct. Chronic serangitis proceeds with the erased symptoms - mild pain in the penis, painful erections, form a seal lesions in the penis of different shapes and lengths, erectile dysfunction.
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