The seminal vesicle is the only vital organ for men. Once inflammation occurs, it will do great harm to men. Seminal vesiculitis is a common disease in young men. It is caused by Escherichia coli, Proteus and Pseudomonas. It can cause male prostatitis, infertility, and other complications if not treated in time.

Therefore, it is necessary to treat it as soon as possible. When the following symptoms occur, we should pay attention to them. They may be symptoms of seminal vesiculitis.

So, what symptom does seminal vesiculitis have?

1. Acute seminal vesiculitis

Patients with acute seminal vesiculitis will have perineal pain, radiating to the groin, lumbosacral and pubic bones. Sometimes the patient will have a fever and increased white blood cells in the blood. If the patient has an infection accompanied by adjacent organs, it can cause abdominal pain. Sometimes the patient will also have semen retention, and the patient will feel bloated and urgent.

2. Chronic seminal vesiculitis

Abnormal semen: This is often the characteristic of chronic seminal vesiculitis. The semen is pink, dark red, or brown in appearance, and old crumpled blood clots accompany a few. The blood sperm is often difficult to stop and usually lasts several months. Most patients have no ejaculatory pain.

Sexual dysfunction: most people avoid sexual intercourse because of fear of blood sperm, and those who have sex for a long time have decreased sexual desire and frequency.

Urinary tract symptoms: most patients with seminal vesiculitis have no apparent urinary tract irritation symptoms. Most of them complain of discomfort in the perineum and lower abdomen. Some patients have a burning sensation in the urethra.

Nervous system symptoms: Because they are afraid of the influence of blood essence on their health and their spouse's health and worry about affecting fertility, they have a heavy ideological burden. Patients often feel dizzy and weak, especially those with a long disease course.

The possibility of seminal vesiculitis should be considered according to typical clinical manifestations, and seminal vesiculitis should be differentiated from prostatitis. The symptoms of chronic seminal vesiculitis are similar to those of chronic prostatitis, which often exist simultaneously. However, one obvious difference is that the symptoms of chronic seminal vesiculitis can cause blood sperm.

Patients with chronic seminal vesiculitis often have hematuria, frequent urination, urgency, discomfort in urination, apparent burning sensation, hidden pain in the suprapubic area, and perineum discomfort. Symptoms are of great significance for diagnosis. Combined with imaging examination, seminal vesiculitis can be diagnosed.

For the diagnosed seminal vesiculitis, proper antibiotic treatment is the most important. According to experience, the effect of intravenous application of cefalexin of the second generation of cephalosporins and ofloxacin of quinolones will be better. Generally, acute seminal vesiculitis should be treated until the symptoms disappear entirely and continue to use drugs for 1 to 2 weeks. For chronic seminal vesiculitis, it is necessary to continue to use drugs for more than four weeks to consolidate the curative effect.

If the effect of antibiotics is not good, you can choose herbal medicine Diuretic and Anti-inflammatory Pill. It can eliminate various symptoms and cure diseases. If chronic prostatitis exists simultaneously, Diuretic and Anti-inflammatory Pill can also play a perfect role in treatment.

Moreover, it should be noted that in the case of hemospermia, patients can take the drug orally with diethylstilbestrol for 2-3 weeks. In most cases, hemospermia can be stopped. Berberine ion penetration can also be used for local treatment. Both warm water sitz bath and perineum hot compress can improve local blood circulation and help the inflammation subside.

At the same time, patients should adjust their lifestyles. The occurrence of seminal vesiculitis may be related to bad lifestyles such as drinking, staying up late, overwork, and frequent sexual life. Correcting these unhealthy lifestyles and proper exercise, regular sex life, and other healthy living habits will help improve symptoms.

Surgical treatment is rarely selected for seminal vesiculitis, but very few patients have intractable hemospermia, seminal vesicle stones, etc., which also need surgical treatment. For example, patients with intractable hemospermia can remove the accumulated blood in the seminal vesicle through surgery. In patients with seminal vesicle stones, the stones in the seminal vesicles can be removed through surgery.

How to diagnose seminal vesiculitis?

Routine semen examination: a large number of red cells and white cells can be seen. The semen bacterial culture was positive. The blood routine examination showed that the white blood cells in the acute patients' blood significantly increased.

Ultrasonography: In patients with a short course of the disease, the seminal vesicles were enlarged and spindle-shaped, the distal end of which could be oval, the cyst wall was rough and thickened, and there was a small dense point like echo disorder in the cyst. If the disease lasts several years, the seminal vesicle can be reduced.

CT examination: The morphology of the seminal vesicle cannot be displayed. When the ejaculatory duct is blocked by inflammation, CT can show the lumen's expansion, and some show uneven low-density cystic expansion. Chronic inflammation leads to seminal vesicle fibrosis, and the seminal vesicle becomes smaller.
Seminal vesicle angiography: The above changes can occur simultaneously or separately. Most of the bilateral seminal vesicles are symmetrical changes, and a few can be asymmetrical, especially after obstruction caused by stenosis.

Ureteroscopy: inflammatory changes can be seen in the seminal caruncle, sometimes with granular or granulomatous hyperplasia on the surface, and purulent or bloody secretions can be seen flowing out of the ejaculatory duct orifice.

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