Couperitis is an inflammation of the bulbourethral gland (Cooper). It is most often considered a complication of gonorrhea urethritis or trichomonas. The infection enters the gland through the excretory ducts that open into the bulbar part of the urethra. The process can be one or two sides.

There is catarrhal (the process affects only the excretory ducts of the gland), follicular (blockage of individual glands moves, followed by the formation of an abscess) and parenchyma (inflammation captures all layers of the gland with the development of periprocesses) forms of couperitis.

Diagnostic of couperitis

It is difficult to make a diagnosis because the clinical manifestations are very similar to acute urethritis, paraproctitis, prostatitis.

The diagnosis is based on the data of a physical examination, the results of a laboratory study of the secretion of Cooper’s glands, and the results of an ultrasound and MRI of the perineum and urethroscopy.

When the examination marked the pain on the palpation of the perineum. The bulbourethral glands can be palpated in the thickness of the pelvic diaphragm. However, due to severe pain in this area, iron is not always determined. With the abscess of the gland and the development of para-couperitis, the infiltration is determined by palpation both on the side of the perineum and on the palpation of the rectum.

The urethra and bladder are washed with a warm solution of furatsilin. The bladder is filled with a solution of furasiline in a volume of 100-150 ml. A gland massage is performed and the first portion of furasilin is examined after emptying the bladder. The presence in the test material of 6 leukocytes and more in the visual field of the microscope is considered to be a pathognomonic sign for acute cuperitis.

Forms of the disease

Cooperit has 2 clinical manifestations: acute and chronic. Chronic inflammation of the glands has mild symptoms. In the acute form, the emptying the bladder occurs with a characteristic disorder, in the anus, there are unpleasant painful feelings. Inflammation is accompanied by a certain increase in body temperature, especially severe forms that have small ulcers in the anus.

Official medicine distinguishes 4 types of inflammation:

– The inflammatory process extends to the fibers of the connective tissue, representing the subcutaneous layer and the parenchymal space. In this case, doctors use the term “paracouperit”.

– In the case of a follicular type, the inflammation captures the bubbles that form a secretion, which causes them to swell and thus prevent the secretion from leaking into the central canal.

– In parenchymal copper, inflammation of the follicles, channels, and surrounding parenchyma is affected.

– The catarrhal type has a specificity of the lesion: the excretory duct. The inflammation often travels to the surface of the bulbourethral gland.

– During chronic cuperitis, a threat is created for the development of gonorrhea-type urethritis, with subsequent relapses.

Causes of the disease

The most common cause of cuperitis is infectious agents spread to the bulbous glands in the urethra with inflammation caused by trichomoniasis or gonorrhea.

Another non-specific bacterial infection spreads through the urethra into the gland.

The possibility of infection through blood or lymph vessels is not ruled out, but it happens very rarely.

Symptoms, clinical picture

In the case of follicular and catarrhal types, the clinical picture is absent.

The only detection of the disease can be made with sufficient pressure on the prominence of the bulbourethral gland.

The parenchymal form is easier to understand by clinical signs. In the patient’s perineum, the pain and unpleasant sensations of traction begin to torment, a small knot, slightly painful when touched and pressed, is felt on the side of the central line of the perineum.

When the intestine and bladder empty, the motor drives increase the painful sensations.

With painful sensations, parakupitis is much less than with the parenchymal type, but the morphological signs are more visible: the body temperature is in the region of 38 degrees, the swelling drops from the perineum to the testicles.

Puffiness is accompanied by reddening of the skin. The mucus at the opening of the urethra constantly stands out, especially when it becomes stronger in a man’s position.

Acute forms are characterized by the formation of ulcers, increased pain, and decreased ability of sperm to fertilize.

In the chronic form, there is a limited infiltration of the capsule.

Treatment of the disease

Antibacterial therapy is performed. Broad-spectrum antibiotics are prescribed and antibacterial drugs are corrected after receiving the results of insemination in the urethra. After the acute inflammation has disappeared, physiotherapeutic procedures are recommended.

When the abscess of the glands or the formation of the parauretal abscess, the ulcer is opened by the perineal approach and the purulent cavity is drained.

Was this article helpful?
YesNo