Cystitis in men is an inflammatory disease of the mucous membrane of the bladder. It should be noted that the structure of the female genitourinary system is significantly different from the male one. Thus, in women, the length of the urethra is much shorter, it is wider. Because of this, the incidence of cystitis in women is much higher than in men.
Note!The male urethra is narrow, long enough and has two physiological bends. All these factors create a mechanical barrier to ascending infection. Therefore, cystitis in men according to statistics is very rare and more often occurs in middle years.
Do boys have cystitis? It happens, but much less often than in girls, due to a certain physiological structure of the body of male and female. Clinical manifestations of cystitis in men include the following groups of symptoms:
- Signs of intoxication, such as an increase in temperature. It can also be significantly high. There is lethargy, weakness, decreased performance.
- Signs of irritation of the bladder-the occurrence of intermittent pain, abdominal pain, frequent urge to urinate. Urination is often carried out in small portions.
- Changes in the urine: leukocyturia, pyuria, hematuria. Urine loses its transparency, there are mucous or purulent impurities, unpleasant smell may occur.
Chronic and Acute Cystitis in Men
Classification of cystitis belongs to O. L. Tiktinsky. Cystitis differs in the form of the disease: it can have an acute and chronic course. Acute cystitis in men begins acutely, proceeds with symptoms of intoxication and a pronounced clinical picture of acute inflammation of the mucous membranes of the bladder. Chronic cystitis in men, on the contrary, is characterized by a sluggish course, Erasure of the clinical picture, alternating periods of remission and exacerbation. Cystitis is primary, when inflammation occurs when exposed to infection on the bladder mucosa. Secondary cystitis develops as a result of other inflammatory and non-inflammatory diseases.
It can be diffuse and local, when inflammation is localized in the neck and the connection with the urethra. According to the morphology and nature of changes cystitis is:
- catarrhal with the development of hyperemia and mucous discharge;
- purulent with the formation of purulent discharge;
- ulcerative or fibrous ulcerative with the formation and fibrosis of ulcers in the wall of the organ;
- gangrenous with predominance of necrotic processes;
- hemorrhagic with vascular erosion and bleeding;
- interstitial (interstitial cystitis cause erectile dysfunction);
Causes of Cystitis in Men
The causes of cystitis in men, as in women, are divided into two large groups:
The First Group: Infectious
These include bacterial, viral, parasitic cystitis. Rare forms include actinomycosis. The most common pathogens of cystitis:
- colon bacillus;
- proteus vulgaris;
- bacteria group stafilokoccom and streptococci.
Rarely, the causative agents of this disease are fungi, not only Candida, but also actinomycetes. Also, sexually transmitted diseases can lead to the development of cystitis. Still, in rare cases, there are cases of tuberculosis cystitis.
Group Two: Non-Communicable
This group includes radiation, chemical, allergic, stagnant, metabolic, neurogenic, iatrogenic and involutional cystitis. In the case of secondary cystitis in men, the causes of the disease are divided into two large groups — cystic and non- cystic.
- The cystic causes that contribute to the cause of cystitis include foreign agents in the bladder, including suture material used in operations on the bladder, bladder stones and migrating kidney stones. This group includes tumors, anomalies of the structure of the bladder, as well as wounds both domestic and iatrogenic.
- The effect of other diseases is attributed to non- cystic causes. It can be diseases of the genitourinary system, ascending and descending infection with urethritis, uremia, kidney diseases. Cystitis often develops with urethral stricture, prostate adenoma, prostatitis, contributing to the stagnation of urine, as well as diseases of the pelvic organs. Cystitis often occurs with injuries and diseases of the spine.
The Consequences of Cystitis in Men and the Main Prevention Measures
Diagnosis of cystitis is based on anamnesis, complaints and clinical picture. For diagnosis, urine tests are carried out, in which a decrease in transparency, leukocyturia, hematuria, piuria is detected, sometimes there are specific signs of the causative agent of the disease, for example, druses actinomycetes, or the pathogen itself. Instrumental diagnosis is presented by ultrasound and cystoscopy.
Note!Acute cystitis in men is treated with antibiotics. However, the complicated form of cystitis is not an indication for hospitalization. It can be treated at home.
Treatment of cystitis should be etiotropic, taking into account the sensitivity of the infectious agent. For the entire period of treatment, a plant-vitamin diet is prescribed to reduce the symptoms of intoxication. Abundant drinking and refusal of sexual contact is also necessary.
The Main Consequences of Untreated Cystitis in Men
The consequences of cystitis in men are also associated with the etiological factor of the disease, the degree of damage to the bladder and the peculiarities of the course of the underlying disease in the secondary lesion.
Note!Cystitis can cause erectile dysfunction and the development of prostatitis. Also, chronic inflammatory diseases of the pelvic organs, including cystitis, can contribute to the development of prostate adenoma.
Due to problems with urination, cystitis causes erectile dysfunction of a psychological nature. Chronic cystitis has a high risk of relapse, when symptoms return after a violation of the diet, hypothermia and other factors. This seriously reduces the quality of life and can affect sexual function.
There are cases of ascending spread of infection when the pathogen from the bladder enters the kidneys, causing inflammation of the renal pelvis — pyelonephritis, which can later be complicated by nephrolithiasis. Also, chronic infection in the bladder can be a provoking factor for the development of oncology.
Thus, there is a certain connection between cystitis and erectile dysfunction. That is why it is necessary to consult a doctor and conduct timely treatment of the disease.