Inflammation Of The Seminal Tubercle (Colliculitis) – Symptoms And Treatment

// Published November 20, 2019 by James Washington

Colliculitis (inflammation of the seminal tubercle) is an infectious and inflammatory lesion of the site of the prostatic part of the urethra of primary or secondary origin. This pathology does not have age preferences.

Inflammation of the seminal tubercle does not pose a direct threat to life (in most cases), but it is still not worth relaxing: colliculitis is a huge danger to men’s health. Therefore, it is so important to “know the enemy in person.” What is colliculitis and how to cope with it?

The location of the seed tubercles.

Brief anatomical information

The seminal mound (also known as the seminal tubercle) is a thickening of the prostatic part of the urethra. At the top of the indicated anatomical structure is a hole called the uterus. The normal size of the mound is 15x3x3 mm .

During the inflammatory process, it increases to 20 mm or more, preventing the normal passage of urine through the urethra.

The role of the seed tubercle in the functioning of the male reproductive system has not been fully established. Some scientists and practitioners are of the opinion that the mound is of great importance in the formation of a normal erection and ejaculation, while others consider the described structure as a vestige of the female genital organs. The exact functionality is not known. Previously, it was also believed that the mound prevents the ejaculate from being thrown into the bladder. However, it was later proved that this is not so. The functional role of this formation of the prostatic part of the urethra, apparently, is overestimated.

Causes of inflammation of the seminal tubercle and the mechanism of its formation

Coliculitis is a polyetiological disease. Several factors play a role in its formation at once. Key development factors:

  • Infections of the genitourinary system of men provoke colliculitis.

    Diseases of the male genital area. First of all, urethritis (inflammation of the urethra), prostatitis (inflammation of the prostate, is less common), etc. The mechanism of the formation of pathology in this case is of a secondary nature. Since in most cases the diseases of the male genital area are infectious, the pathogen moves to the area of the seed tubercle, forming a new focus of inflammation.

  • Sexually transmitted infections. Pathogens penetrate the urethra, causing an inflammatory process in the mound. The pathological process caused by sexually transmitted infectious agents is particularly difficult.
  • Bad habits: smoking, alcohol abuse. They lead to irritation of the urethra, including the seminal tubercle.
  • Lack of exercise. Represents the cause of stagnation in the pelvic organs. This is a factor in the development of colliculitis.
  • Irregular sex life.
  • Prolonged erection, not ending with sexual intercourse.
  • Pelvic circulatory disorders. In this case, the formation of the prostatic part of the urethra lacks oxygen and nutrients. Dystrophic processes begin.
  • Burdened by heredity.
As a rule, with the formation of inflammation, we are talking about several reasons at once.


Symptoms vary from patient to patient. In general, the clinical picture consists of the following manifestations:

  • Pain in the inguinal region accompanies inflammation of the seminal tubercle.

    Pain in the groin. Discomfort is localized in the penis, anus. Pain can radiate (give) to the testes, lower abdomen. By nature she is aching, pulling. Strengthens during and immediately after urination.

  • Sensation of incomplete emptying of the bladder after urination. Discomfort when emptying an organ.
  • Hematuria (blood traces in the structure of urine). It is caused by inflammation of the seminal tubercle.
  • Discomfort in the anus. False at its core, discomfort gives away from the primary lesion.
  • Blood in the ejaculate.
  • Pain at the time of ejaculation. The pain syndrome is acute, shooting. It is caused by spasm of the muscles of the urethra and excessive irritation of the seminal mound.
  • Violations of sexual activity. First of all, we are talking about weakening an erection: it becomes lethargic, insufficient for normal sexual intercourse. There are also marked changes in the libido (down).
  • Anorgasmia (full or partial). Caused by a decrease in sensitivity during intercourse.
  • Frequent pollutions. During ejaculation, pain is observed.
  • Change the color of urine. Urine acquires a reddish tint (recall, the normal color of the urine is straw yellow).
Usually the clinical picture is incomplete, since acute development of colliculitis is not so common.

Much more often we have to talk about subacute or chronic course of the disease. This is extremely dangerous, because the patient attributes the painful manifestations to urethritis, or his own male failure. Thus, she misses the precious time needed for treatment.

Diagnostic measures

Diagnostics begins in the office of a specialist. The first thing the patient needs to do is contact a urologist, or an andrologist (preferably). The basis of the initial examination is a survey of the patient regarding the nature of complaints, as well as a digital examination of the seminal tubercle through the rectum (necessary to assess the size of the anatomical structure and pain response).

Instrumental research

Instrumental studies are also necessary and include:

  • Urethroscopy allows you to visually assess the condition of the seminal tubercles.

    Urethroscopy Fairly unpleasant research, however necessary. It is an introduction to the urethra of a flexible endoscope with a camera. Allows the doctor to assess with his own eyes the size and nature of the seed tubercle.

  • Contrast radiography of the urethral canal.
  • MRI / CT diagnostics. Both of these methods are informative enough to make an accurate diagnosis. But, due to their low availability, they rarely resort to them.

Laboratory research

Laboratory studies are a good help in assessing the condition of the patient’s body. Among them:

  • General blood analysis. In the general analysis, elevated ESR (ROE) and white blood cell counts will prevail. Red blood cells – on the contrary, will be less than normal.
  • Blood biochemistry.
  • Urinalysis (leukocytosis, hematuria).

In combination, these methods are enough to make an accurate diagnosis. Usually, fewer studies are enough.

Coliculitis treatment

Treatment is a problem for a novice specialist. It is important to approach it comprehensively. The basis of therapy is conservative methods: drug therapy and physiotherapy.

Drug therapy

Prescribed drugs of certain groups:

  • Anti-inflammatory non-steroidal origin. Necessary to eliminate the root cause of pain – inflammation.
  • Analgesics. They are painkillers.

Both those and other medicines can be taken in a minimum dosage on their own for up to 3 days. It is important not to overdo it, otherwise the patient risks complicating the life of the doctor, as the clinical picture will be “blurred”.

  • Antibacterial agents. Necessary to destroy pathogens in the pelvis. It should be borne in mind that antibiotics are prescribed only after a special study (culture on the microflora to determine sensitivity to antibacterial agents).
  • Antispasmodics.
  • Diuretics (should be prescribed with caution, as stagnation of urine is possible).


They resort to it only during the period of remission of inflammation of the seminal tubercle. Preference is given to ultrasound, currents.

They also resort to washing the urethra and extinguishing the seed tubercle. Stuffing (cauterization) of the seed tubercle is a symptomatic therapy aimed at eliminating discomfort. Silver-based drugs are used for cauterization, they kill the pathogenic flora and weaken the pain reaction, but they do not eliminate the root cause of the disease. Therefore, an integrated approach is so important.


They resort to it in extreme cases, when conservative therapy is impossible. The need for surgery is determined by the doctor.

Prevention of inflammation of the seminal tubercle

As you know, it’s easier to prevent the disease than to treat it later. Preventive measures include a number of simple recommendations:

  • Careful hygiene of the genitals is a mandatory preventive measure.

    unprotected sex should be avoided;

  • it is important to undergo preventive examinations;
  • it is necessary to carefully observe the rules of personal hygiene;
  • if there are concomitant diseases of the genital area – it is important to treat them on time;
  • all sources of possible infectious lesions should be sanitized in a timely manner, especially those located near the seminal mound.

Inflammation of the seminal tubercle is a serious disease. It is possible the development of necrosis, blood poisoning and death. Even in less severe cases, persistent dysfunction of the reproductive system is formed. It is necessary to adhere to the rules of prevention, and if the trouble nevertheless happened – be treated in a timely manner. Only in this way will the forecast be favorable.