The seminal vesicles are a pair of small glands located above the prostate, one on each side. Although they are only the size of a peanut, they are very capable. The seminal vesicle fluid they secrete accounts for 65% of the semen. Seminal vesicle fluid can liquefy semen. At the same time, seminal vesicle fluid is also rich in fruit acids, which are excellent nutrients needed for sperm movement. It can be seen that the workload is heavy and the work is also very important.
When there is a problem with the seminal vesicles, men will undoubtedly suffer a lot, such as seminal vesiculitis. Seminal vesiculitis is one of the common infectious diseases in men. Most of the patients are middle-aged men aged 20 to 40 years old. Hematospermia is the main clinical manifestation, but it can be divided into acute and chronic forms. Different patients behave differently.
* Hematospermia: Hematospermia is discharged during ejaculation, which is more obvious in acute seminal vesiculitis. Hematospermia may appear as pink or bright red semen, or there may be blood streaks or blood clots in the semen. This symptom is mostly discovered by the spouse during sexual intercourse. Pain during ejaculation.
* Frequent urination, urgent urination, and painful urination: Seminal vesiculitis is often complicated by prostatitis and urethritis. Patients with acute inflammation may have obvious frequent urination, urgent urination, and painful urination, and sometimes difficulty urinating. Chronic cases are characterized by frequent urination and urgency, as well as urinary discomfort, such as burning sensation.
* Pain: In acute cases, lower abdominal pain can be seen, involving the perineum and both sides of the groin. In chronic cases, there may be dull pain in the suprapubic area, accompanied by perineal discomfort. The pain is significantly worse during ejaculation.
* Other symptoms: There may be fever, sensitivity to cold, and chills, which are systemic symptoms seen in acute seminal vesiculitis. Hematuria is also one of the manifestations of acute seminal vesiculitis. Pain during ejaculation, low libido, nocturnal emissions, decreased sperm count, and premature ejaculation are common in chronic patients.
* Examination: Routine examination of semen can reveal a large number of red blood cells and white blood cells in the semen, an increase in dead sperm, poor sperm motility, and a positive semen bacterial culture. Routine blood examination shows that white blood cells in the blood increase significantly in acute cases. The doctor can feel the enlarged seminal vesicles when inserting his fingers into the anus. The patient feels pain when touching the mold, and there is mild tenderness in the lower abdomen, perineum and suprapubic area.
Seminal vesiculitis caused by bacteria can be treated with antibiotics to completely remove the bacteria causing seminal vesiculitis from your body. Only when tests show that all the bacteria have disappeared can the medication be stopped. If the condition is more serious, such as urethral obstruction, hospitalization is required.
What are the symptoms of seminal vesiculitis?
Seminal vesiculitis is a common disease among men in young adults. It is caused by Escherichia coli, Klebsiella aerogenes, Proteus and Pseudomonas. When the organs adjacent to the seminal vesicles, such as the prostate, posterior urethra, colon, etc., are infected, or the prostate and seminal vesicles are congested under any circumstances, evil bacteria will take the opportunity to cause trouble, invade the seminal vesicles, and induce seminal vesiculitis. Seminal vesiculitis is clinically divided into two categories.
(1) The systemic symptoms of acute seminal vesiculitis include body pain, chills and fever, and even chills, high fever, nausea, vomiting, etc. The urinary tract symptoms are mainly urethral burning sensation, frequent urination, urgency, and painful urination. and symptoms of prostatitis such as terminal hematuria and dribbling urine, accompanied by severe pain in the perineum and rectum, which worsens during defecation. In severe cases, it can affect sexual function and cause severe pain during sexual intercourse. Routine blood tests were performed, and the total number and classification of white blood cells were elevated.
(2) Chronic seminal vesiculitis is mostly caused by the evolution of acute seminal vesiculitis due to severe lesions or incomplete treatment. There are also some patients who, due to frequent sexual excitement or excessive masturbation, cause congestion of the seminal vesicles and prostate, secondary infection, and chronic seminal vesiculitis. The symptoms of chronic seminal vesiculitis and chronic prostatitis are difficult to distinguish and often coexist. The presence of blood (hematospermia) in the semen is a characteristic of chronic seminal vesiculitis, which is not easy to stop on its own. It often appears during ejaculation and lasts for several months.
Why should seminal vesiculitis be treated thoroughly?
The seminal vesicle is not an organ that stores semen, but an accessory gland of the male genitals. A pair of oblong sac-like organs. Located behind the base of the bladder and lateral to the ampulla of the vas deferens. The shape is wide at the top and narrow at the bottom, slightly flattened at the front and back, with an uneven surface. The upper end is free and more enlarged as the base of the seminal vesicle, and the lower end is thin and straight as the excretory duct. Because of the structural characteristics of the seminal vesicles, drainage is not smooth after inflammation occurs, and the root of the problem often remains after bacterial invasion, making it difficult to completely cure.
In order to prevent protracted seminal vesiculitis, whether it is acute or chronic seminal vesiculitis, it should be treated thoroughly.
(1) Choose appropriate antibiotics. Acute seminal vesiculitis should be treated until the symptoms completely disappear, and then the medication should be continued for 1 to 2 weeks; chronic seminal vesiculitis needs to be continued for more than 4 weeks to consolidate the curative effect. According to our experience, the intravenous application of Cilixin, a second-generation cephalosporin, and Auxiliary quinolones have good effects.
(2) For local treatment of berberine iontophoresis, use 1‰ berberine 20ml as an enema after defecation, soak a gauze pad with this medicine and place it on the perineum, and connect it to the anode of the DC physical therapy device , apply the cathode on the pubic bone, 20 minutes each time, once a day, every 10 times as a course of treatment. Warm water sitz bath (water temperature 42℃) and perineal hot compress can improve local blood supply and help inflammation subside. Avoid sitting for too long to prevent pelvic congestion.
(3) Bed rest and laxative drugs should be given to keep the stool unobstructed.
(4) Avoid excessive sexual intercourse to reduce the degree of congestion in sexual organs. Patients with chronic seminal vesiculitis can undergo seminal vesicle and prostate massage regularly (1 to 2 times a week). One is to increase blood supply to the prostate and seminal vesicles, and the other is to promote the discharge of inflammatory substances.
(5) Regularize your life, balance work with rest, and avoid tobacco, alcohol, and spicy food.
(6) Do a good job in the patients’ ideological work to eliminate their concerns, especially those of patients with hematospermia, and enhance their confidence in overcoming the disease.
(7) Traditional Chinese Medicine: Take orally with traditional Chinese medicine that activates blood circulation, detoxifies and softens hardness.
12 grams of Salvia miltiorrhiza, 12 grams of red peony root, 15 grams of safflower, 15 grams of peach kernels, 15 grams of adenophora adenophora, 15 grams of walnut bark, 15 grams of soybean root, 4 grams of panax notoginseng, large and small thistles 15 grams each, 10 grams of Cogongrass root.
(8) For the treatment of hematospermia, 1 mg of diethylstilbestrol and 5 mg of prednisolone can be taken orally, 3 times a day, for 2 to 3 weeks, which can stop hematospermia.
It should be pointed out that seminal vesiculitis, especially chronic seminal vesiculitis combined with chronic prostatitis, can easily prolong the course of the disease, and treatment should be persistent. We must not lose confidence in defeating the disease, let the disease develop, delay treatment, and cause continued disease. Complications such as recurrent infertility may lead to lifelong regret.
Seminal vesiculitis is one of the common infectious diseases in men. The onset age is mostly between 20 and 40 years old. Hematospermia is the main clinical manifestation, but it can be divided into acute and chronic, and individual differences are large. Clinical manifestations vary.
(1) Hematospermia: It manifests as the discharge of hematospermia during ejaculation, and the semen is pink or red or contains blood clots. The phenomenon of hematospermia is more obvious in acute cases.
(2) Frequent urination, urgent urination, and painful urination: In acute cases, symptoms of urgent urination and painful urination are obvious, and difficulty in urination may be seen. Chronic cases are characterized by frequent urination, urgency, discomfort during urination, and burning sensation.
(3) Pain: In acute cases, lower abdominal pain can be seen, involving the perineum and both sides of the groin. In chronic cases, there may be dull pain in the suprapubic area, accompanied by perineal discomfort. Pain symptoms are significantly worse during ejaculation.
(4) Other symptoms: There may be fever, chills, and chills, which are systemic symptoms seen in acute seminal vesiculitis. Hematuria is also one of the manifestations of acute seminal vesiculitis. Pain during ejaculation, low sexual desire, spermatorrhea, and premature ejaculation are common in chronic patients.
(5) Auxiliary examination: Routine examination of semen shows a large number of red blood cells and white blood cells. Semen bacterial culture was positive. Routine blood examination shows that white blood cells in the blood increase significantly in acute cases.
In patients with seminal vesiculitis, enlarged seminal vesicles can be palpated during digital anal examination, accompanied by tenderness. There may also be mild tenderness in the lower abdomen, perineum and suprapubic area.
The seminal vesicle is not an organ that stores semen, but an accessory gland of the male genitals. A pair of oblong sac-like organs. Located behind the base of the bladder and lateral to the ampulla of the vas deferens. The shape is wide at the top and narrow at the bottom, slightly flattened at the front and back, with an uneven surface. The upper end is free and more enlarged as the base of the seminal vesicle, and the lower end is thin and straight as the excretory duct. Because of the structural characteristics of the seminal vesicles, drainage is not smooth after inflammation occurs, and the root of the problem often remains after bacterial invasion, making it difficult to completely cure. In order to prevent protracted seminal vesiculitis, whether it is acute or chronic seminal vesiculitis, it should be treated thoroughly.
(1) Choose appropriate antibiotics. Acute seminal vesiculitis should be treated until the symptoms completely disappear, and then the medication should be continued for 1 to 2 weeks; chronic seminal vesiculitis needs to be continued for more than 4 weeks to consolidate the curative effect. According to our experience, the intravenous application of Cilixin, a second-generation cephalosporin, and the quinolone-based Orthodoxy? have good results.
(2) For local treatment of berberine iontophoresis, use 1‰ berberine 20ml as an enema after defecation, soak a gauze pad with this medicine and place it on the perineum, and connect it to the anode of the DC physical therapy device , apply the cathode on the pubic bone, 20 minutes each time, once a day, every 10 times as a course of treatment. Warm water sitz bath (water temperature 42℃) and perineal hot compress can improve local blood supply and help inflammation subside. Avoid sitting for too long to prevent pelvic congestion.
(3) Bed rest and laxative drugs should be given to keep the stool unobstructed.
(4) Avoid excessive sexual intercourse to reduce the degree of congestion in sexual organs. Patients with chronic seminal vesiculitis can undergo seminal vesicle and prostate massage regularly (1 to 2 times a week). One is to increase blood supply to the prostate and seminal vesicles, and the other is to promote the discharge of inflammatory substances.
(5) Regularize your life, balance work with rest, avoid tobacco, alcohol and spicy food.
(6) Do a good job in the ideological work of the patient, eliminate the patient's concerns, especially those of patients with hematospermia, and enhance their confidence in defeating the disease.
(7) For the treatment of hematospermia, 1 mg of diethylstilbestrol and 5 mg of prednisolone can be taken orally, 3 times a day, for 2 to 3 weeks, which can often stop hematospermia.
It should be pointed out that seminal vesiculitis, especially chronic seminal vesiculitis combined with chronic prostatitis, can easily prolong the course of the disease, and treatment should be persistent. We must not lose confidence in defeating the disease, let the disease develop, delay treatment, and cause continued disease. Complications such as recurrent infertility may lead to lifelong regret.