Funiculitis: causes, symptoms, diagnosis and therapy

Фуникулит: причины, симптомы, диагностика и терапия

Funiculitis is an inflammatory process localized in the spermatic cord. As a rule, funiculitis is secondary and develops as a result of pathological processes covering the prostate gland, the upper sections of the urinary canal.

Funiculitis is rare, but taking into account the anatomical features of the structure of the male genitourinary tract, the pathology is fraught with serious complications, therefore it requires careful and timely verification.

Sometimes treatment of funiculitis is possible only with surgical intervention.

For more information about the diagnosis and treatment of funiculitis, read on estet-portal.com in this article.

Mechanism of development of pathology and main root causes
Symptomatic picture of funiculitis
Methods of diagnosis and principles of therapy of funiculitisa

Mechanism of development of pathology and main root causes

Funiculitis is exclusively infectious and is caused by specific or non-specific bacterial flora. Usually, pathogens enter the area of the spermatic cords in an ascending way from the urethra, prostate, testicles.

Often, the etiology of funiculitis is associated with a hematogenous or lymphogenous pathway for the spread of pathogenic flora from other foci of infection, usually from the kidneys, bladder and other nearby organs.

The specific funiculitis, which occurs as a secondary disease against the background of severe systemic infections, is allocated into a separate class.

Iatrogenic funiculitis is a complication of surgical intervention performed in violation of the technique of the operation, non-compliance with the rules of asepsis and antisepsis.

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Another classification of funiculitis provides for the division of pathology into the following varieties:

autoimmune funicular funiculitis, often caused by streptococcal flora as a result of impaired immune function at the cellular level;
primary funiculitis occurring in immunocompromised patients as a result of hematogenous introduction of bacteria;
secondary funiculitis, develops as a complication of sexually transmitted diseases;
endemic funiculitis, caused by a bacterial microflora uncharacteristic for our latitudes.

Identification of the cause of funiculitis determines the further treatment regimen.

When taking an anamnesis for patients with funiculitis, it is typical:

immunodeficiency;
past or chronic inflammatory diseases of the genitourinary system;
congenital or acquired anatomical pathologies that contribute to stagnation of urine and impaired microcirculation in the pelvisy.

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Symptomatic picture of funiculitis

The clinical picture of funiculitis is characterized by all the signs of an infectious inflammatory process:

temperature increase;
failure;
lack of appetite;
headache;
drowsiness;
myalgia;
arthralgia.

In combination with these symptoms, a picture characteristic of funiculitis develops. The patient is worried about acute pain syndrome, which does not have a clear localization. From the scrotum, the pain spreads to the entire perineum, pubis, sometimes radiating to the lower back.

With funiculitis, discomfort becomes more intense during urination, erection. From the urethra periodically appear thick opaque discharge, sometimes with pus. The perineal area against the background of funiculitis is edematous and painful on palpationand.

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Methods of diagnosis and principles of therapy of funiculitis

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Funiculitis can be diagnosed by palpation of the perineum and comparison of anamnesis data.

Other studies are mandatory to determine the etiology, severity of the inflammatory process and diseases associated with funiculitis.

If funiculitis is suspected, the patient is given referrals for clinical blood and urine tests, prostate ultrasound and abdominal organs, bacteriological culture discharge from the urethra.