Seminal vesiculitis often occurs simultaneously with prostatitis, mostly due to retrograde infection. The pathogenic bacteria are primarily Staphylococcus aureus, hemolytic streptococcus, and Escherichia coli. It is classified into acute and chronic seminal vesiculitis.

bubble_chart Clinical Manifestations

1. The acute phase often coexists with acute prostatitis, presenting with symptoms of prostate inflammation;

2. Sometimes accompanied by semen retention, the patient experiences distending pain;

3. It often manifests as decreased libido, premature ejaculation, and pain during ejaculation;

4. Chronic seminal vesiculitis may present with hemospermia.

[Ancillary Examinations]

1. For acute seminal vesiculitis, the examination items are mainly within the scope of "A" and "B";

2. For chronic seminal vesiculitis, the examination items include the scope of "A," "B," or "C."

bubble_chart Diagnosis

1. Blood in semen.

2. Often coexists with prostatitis, presenting symptoms of prostatitis.

3. Digital rectal examination may reveal an enlarged and tender seminal vesicle.

4. Semen contains a large number of red blood cells and white blood cells.

5. Seminal vesiculography may be performed if necessary.

6. Digital rectal examination: Seminal vesicle is swollen, fluctuant, and tender. {|105|}

bubble_chart Treatment Measures

Treatment measures: Same as for prostatitis.

1. In the acute phase, antibiotic therapy is the main treatment.

2. For chronic seminal vesiculitis, comprehensive treatment including antibiotics, sitz baths with hot water, estrogen, and supportive symptomatic therapy is used.

bubble_chart Cure Criteria

2. Improvement: Symptoms improve, hemospermia disappears macroscopically, a small amount of red blood cells are found in semen examination, and the seminal vesicle has grade I tenderness.

3. No cure: Symptoms do not improve, hemospermia is present, or semen examination shows a large number of red blood cells and white blood cells.