Urogenital trichomoniasis: signs (pictures) and treatment
According to information obtained in the world health organization, each year worldwide seek help the 250 million patients suffering from urogenital trichomoniasis.
The causative agent of this disease is Trichomonas vaginalis Donnae (trichomonada vaginal) class of flagellates. This parasite lives only in the human body and outside it dies quickly – Trichomonas in an open environment is dried for 5-7 seconds and die at temperatures over 40°C.
In most cases, urogenital trichomoniasis has all the symptoms of protozoan and bacterial infection in which there are combinations of Trichomonas with other parasites, such as chlamydia, gonorrhea, Mycoplasma, yeasts, etc.
The primary manifestations of this disease in men are burning, itching, often severe pain during urination. The intensity of these manifestations can vary.
By visual inspection it is possible to detect the allocation of white-grey or transparent, appearing out of the urethra. On the physical condition this discharge Muco-purulent or watery, and sometimes frothy. There is swelling and redness, sponges urethral. When taking a urine sample in two stages the first portion is usually muddy, and the second – transparent. In cases when the inflammatory process extends to the posterior urethra, the urine in the second portion is also turbid, the symptoms are added, frequent urination often happens incontinence.
At a palpation it is possible to determine in the tissues of the urethra, particularly in the area of articulation, the presence of a foreign substance (infiltration), which is released through the urethra and contains a considerable number of different germs, Trichomonas, white blood cells and epithelial cells. In sampled urine, over time, there is residue from the epithelial layers of Horny scales.
Inflammation in weak form of urogenital trichomoniasis are expressed much weaker. Selection appear mainly in urinary retention or with pressure on the urethra.
Infiltration of the tissues of the urethra was also clearly expressed, a swab taken from the urethra, mixed with blood, suggesting the bleeding of the mucosa. Also in the smear it is possible to detect Trichomonas and a sufficient number of epithelial cells and leucocytes. In the analysis of urine, in the first portion of the liquid is cloudy with strings. Second portion of urine in the dissemination process in the rear part of the urethra also becomes cloudy, and there are threads.
Patients suffering from torpid form of this disease, you can complain of discharge from the urethra, appearing in the morning in small quantities, as well as pain during urination, which only amplified after taking spicy food or alcohol. Sponges of the urethralook like glued, with a light poskablivanii appears bleeding in the mucosa, caused by epithelial desquamation and loosening. Examination of smears under the microscope shows the presence of leukocytes and Trichomonas.
Quite often, the process is global in nature, but the fact of the transition of the disease on the back part of the urethra is detected only when there are flocks and filaments in the urine of the second portion. Occurrence of the disease due to frequent urination.
In chronic urogenital trichomoniasis patients complain about the allocation of Muco-purulent nature, which appear mainly in the morning and in small quantities. Along with this, there is frequent urination, in which the urethra felt itchy and burning. Dvuhstoronka a urine sample demonstrates the presence of turbid fluid pathological impurities (strands, flakes, etc.). In some cases, the urine is clear, but it is most likely due to a blockage of the tubes purulent urethral glands.
Urethroscopy can be detected in a very normal mucosa edematous lesions of redness, varying in size and localization and deformation of the entire Central figure. The mouth of the crypts and glands are clogged purulent plugs, while around them is a halo of hyperemia. Thus are thickened folds of mucous component, they can be considered swollen, loosened epithelium, there is abundant bleeding in the touch, there are symptoms of the formation of erosions. Typical inflammation of the urethra (mild infiltration) are combined with transition reportdesign in solid infiltration. Moreover, the mucous membrane in this case fades, becomes dull, and loses elasticity, due to which it begins to gape the Central figure.
In a number of chronic urethritis is possible to distinguish between subacute ongoing process of inflammation and sluggish torpedo character. Useful article on our website — head to the fabric.
In a case involving the inflammation of the surrounding gland tissue development is observed periglandular forms cooperate. In fact suppuration of glands, the formation of an abscess, which can be opened without assistance of the urethra, or, as an exception — in the crotch.
During the symptomatic course of catarrhal and follicular forms of the disease patients usually do not show any complaints, and the gland is not palpated. In the case of the transition in the parenchymatous form beginning to feel pain in the perineum when walking or sitting, which can spread to the back part of the thigh; in this case, the gland is palpable as a nodule, in practice, the left side in the region of the median suture. During inspection observed deformation of the perineum,swelling and redness in the inflamed gland.
In the case of the acute form cooperite lead channel gapes, thereby enabling the contents to flow directly into the urethra, not stopping. During the chronic course of the disease inflammatory secret will remain in the gland, thereby allowing her to palpate. Often develops left will cooperit due to closer location of the excretory canal of the left gland to the urethra.
In the case of Trichomonas urethritis in on the secret, pick up the patient detained urination, there are leukocytes, an increased number of epithelial cells, and possible urogenital Trichomonas or bacteria.
The defeat of the scrotum
In the case of total Trichomonas urethritis, the bacteria is able through the ejaculatory channel to be in the area of the appendages of the testicle, causing inflammation.
As a rule, Trichomonas epididymitis occurs in 7 percent to 15 percent of patients with urogenital trichomoniasis. In practice, the epididymitis in most cases accompanied by focal lesion of the spermatic cord, by touching it painful infiltrated strand. On the other hand, the involvement of inflammation of the membranes of the testicle or the testicle is very rare.
Trichomonas epididymitis rarely can occur in an acute form is pain as you progress in the seed channel, as well as the epididymis, increased body temperature, the patient is unable to move independently due to the presence of sharp pain in the body. During palpation the epididymis is very painful, while the skin of the scrotum is edematous, hyperemic and is characterized by touch fever.
More common low-intensity inflammation. This epididymitis is manifested with symptoms of General malaise, the emergence of a pulling pain in the groin. After a few days the inflamed appendage grows in size and becomes moderately painful during palpation. Subsequently, the process may further involve the testicle increase in size with the subsequent emergence of exudate in the shells. Ultimately, in practice, the testicle and epididymis form a common conglomerate with moderately painful condition.
The diagnosis of Trichomonas epididymitis is based on the detection of the presence of urogenital Trichomonas in the urethra in the presence of Trichomonas urethritis common taking into account the accession of orhoepididimit and funiculitis. The inflammation of the epididymis subsequently resolved very slowly. In the General account as the treatment of orhoepididimit may be obliteration of the ejaculatory canal and possible male sterility. Interestingto know also and how appears in addition, Trichomonas prostatitis is characterized by its malointeresny and this is why the defeat of the prostate is diagnosed only 53.1% of patients who consider themselves healthy. Due to the asymptomatic course of prostate periodically is manifested inflammation of the urethra, which seems inexplicable and unexpected.
From the point of the clinical course according to the nature of the disease and the severity of acute, subacute, and chronic types of prostatitis. Post-mortem identified a few species, among which is often manifested catarrhal, follicular and parenchymatous prostatitis.
Shortness of the anatomical structure of the organ with a rich blood supply, a large number of venous plexus or anastomosis of blagopriatnoe stagnant phenomena in the prostate area, poor outflow of inflammatory products and maintain its level of contamination. In the smear there is a large number of white blood cells, reduces drastically the number of lecithin granules.
The acute form of prostatitis is characterized by pain, manifested themselves either during the act of defecation with the spread of pain in the thigh or coccyx, reinforced by an imperative urge to urinate directly with the formation of a turbid, opalescent urinary idioti in both portions. In cases of catarrhal prostatitis during palpation is not detected changes in size, configurational characteristics and composition of the gland.
In the case of observation of the follicular form, palpable is possible to observe a individual are extremely sensitive to pressure, palpable nodules in a standard or slightly enlarged gland.
In the case of observation of parenchymal form (during which is absorbed by the body or part of it) there is a significant increase body, resulting in not all cases it is possible to palpate the border with the upper side of the gland, as observed tension surface of the gland, regardless of its condition (smooth or bumpy), hardness of texture, uneven lobes and the actual analysis of medial furrow.
In the case of the subacute form of prostatitis pain, together with disorders of urination, changes palpation are less pronounced. During treatment of chronic prostatitis clinic is polymorphic: from a complete lack of any complaints before being serious.
Observed a feeling of heaviness or dull pressure in the anus, itching in the urethra, the anus, pain in the back of the channel with the transfer of pain in the hip or lower back.
The urine in this case, it is transparent, but the presence of impurities purulent filaments or flakes, and in some cases muddy. Often weakened erection, wherebythere comes a premature ejaculation and reduced feeling of orgasm. Palpation information similar to that described above.
The manifestation of vesiculitis
It should be noted that urogenital Trichomonas penetrate directly through the mouth of the ejaculatory duct channels from posterior part of urethra to one or both of the seminal vesicle, thus causing in them a manifestation of acute or chronic inflammation by the infiltration of only the mucosa, which is manifested most often as a form of catarrhal vesiculitis.
In more rare cases, the process of inflammation is thrown on the entire wall of the seminal vesicle, which leads to spread in the submucosal and muscular layers of epithelium – like symptoms are characteristic of the deep form of the disease.
In the case of subjectively asymptomatic forms of the disease there are no complaints, however, when the catarrhal form directly in the composition of the secretion of the seminal vesicle there is a large number of leukocytes and Trichomonas.
In the case of deep forms of vesiculitis seminal vesicle grope with one or two sides as oblong of education, which is located in the upper region of the prostate.
In the case of acute form is the increase in temperature, the condition of weakness, pain in the area of the perineum and rectum, which are distributed in the direction of the waist or head of the penis. Is observed frequent urination, the actual terminal hematuria, increased levels of sexual excitability.
In the case of chronic form often occurs pyospermia, haemospermia, as well as sexual disorders and colicky pain, manifested in the pelvic region during sexual arousal.
In the case of acute cystitis patients have to urinate almost every half hour. Urination on top accompanied by severe pain, and also release a few bloody drops upon completion of urination.
Constant pain impulses inflamed mucous component of the shell of the bladder lead to tonic contraction of the detrusor, and increased intravesical pressure, and therefore even a small buildup of fluid in the bladder can lead to the manifestation of the imperative urge.
Terminal hematuria occurs due to lesions of the bladder neck. It is worth noting that chronic cystitis as a separate disease in medicine does not exist and is considered a complication of urethritis, Trichomonas, and therefore does along with the cure of the latter.
The treatment of trichomoniasis in men
In the case of chronic and torpid urogenitalnaya due to violation of vascularization protivozastojnye drugdrugs penetrate directly into the lesions of the inflammatory process in lower concentrations, and therefore, under such forms of disease should not be limited to appointment only protivotrihomonadnyh funds.
on the other hand, we can consider the possibility of unconventional treatments, on our website just have the material — Trichomoniasis: treatment of folk remedies, which widely covers this issue.