Cavernitis is an inflammatory disease that entails the defeat of the cavernous (cavernous) bodies of the penis and the formation of painful indurations on it.
It is customary to distinguish between acute and chronic forms of the disease. Chronic form occurs as a result of untreated acute inflammatory process or on the background of inflammatory process near the cavity.
Causes of disease
The cause of cavernitis is any viral or bacteriological pathogen that enters the cavern and begins to develop, grow and multiply. The main causes of an infectious agent are:
- complication of urethritis, specific or nonspecific;
- trauma to the urethral canal with damage to the cavernous bodies;
- surgical interventions involving the cavity of the cavernous bodies;
- long urinary catheterization;
- injury to the penis;
- postinjection process of intracavernous administration of drugs;
- lymphogenous spread of bacteria from chronic foci of inflammation (osteomyelitis, caries, furuncles, carbuncles, sepsis).
The infection penetrates through the bloodstream and syphilitic way. The fracture cavernitis is characterized by infectious diseases of the urethra with further migration to the cavernous bodies. The syphilitic path implies the presence of foci of infection directly on the penis, without involving the urethra in the process.
The disease begins acutely. Focal intoxication syndrome spreads to the whole body:
- body temperature rises;
- there is a feeling of weakness and weakness;
- a person gets tired quickly;
- body temperature can reach 38.1-39.0 degrees;
- there is a headache and chills, excessive sweating.
The pain is local, acute, has a permanent character of the arching type, sometimes acquires a pulsating hue. Occurs due to the pressure of pus on the walls of the cavernous body, irritation of nerve endings, which in the penis is much more than in any other organ. Also, the products of vital activity of pathogenic microorganisms (exotoxins) and the decay of non-living bacteria (endotoxin) can also cause constant pain. They affect both the nervous system and the vascular wall.
The appearance of the penis at the cave
The penis becomes hyperemic (enlarged, swollen). If the cavernous bodies are affected on both sides, then the pus in the cavernous bodies and the blood flowing to the site of infection lead to the occurrence of a prohibitive erection. The bulk of pus are not bacteria, but the body's immune bodies. Such an erection is painful and makes it difficult to urinate, sometimes stopping it completely. After falling down along the cavity, a sharply painful infiltration is felt. If the process is one-sided, the penis is bent in the direction of the lesion.
The lymphatic system also does not stand aside and reacts to infiltration, as to any other inflammation. The penis becomes edematous, lymphogenous reaction is observed - the inguinal lymph nodes become inflamed and enlarged .