How to treat seminal vesiculitis, drug treatment is effective

There are acute and chronic types of seminal vesiculitis. Acute seminal vesiculitis can cause fever, body pain, and urinary tract discomfort. Chronic seminal vesiculitis can cause hematospermia and sexual dysfunction. Traditional Chinese medicine is very effective in treating seminal vesiculitis, and patients should not be too nervous.

1. Drug treatment

1. General treatment

(1) For patients with a long course of illness, neurological symptoms, or mental burden due to hematospermia, the condition should be explained to eliminate unnecessary mental burden.

(2) Hot water sitz bath: 1 to 2 times a day, water temperature around 40°C.

(3) Physical therapy: mainly includes perineal or rectal ion introduction, ultrashort wave, microwave irradiation, etc., once a day, 10 to 15 times as a course of treatment.

2. Systemic treatment

(1) Antibiotics: For acute seminal vesiculitis, sensitive, sufficient, and effective broad-spectrum antibiotics should be used to control inflammation. For chronic seminal vesiculitis, which is often combined with chronic bacterial prostatitis, it is advisable to use fat-soluble drugs, which are related to plasma protein.

After binding, it easily diffuses into the prostate and seminal vesicle secretions. Commonly used drugs include trimethoprim (compound sulfamethoxazole), roxithromycin, and quinolone drugs. The course of treatment is generally 1 to 3 months. If the seminal vesicle fluid is positive for bacterial culture, the drug sensitivity test is used.

Experimental selection.

(2) Hemostatic agents: For those with reddish hemospermia, ethylphenolsulfonamide, aminobenzoic acid (hemostatic aromatic acid), etc. can be used.

(3) Diethylstilbestrol: 1 mg, once a day, 14 days as a course of treatment, can reduce the congestion and edema of the seminal vesicle. 5α-reductase inhibitors: Proscar 5 mg, once a day; or Apretil 5 mg, twice a day. It is more effective for those with stubborn hematospermia, and each course of treatment lasts 1 to 3 months.

2. Other treatments:

(1) Drug injection into the seminal vesicle: For chronic seminal vesiculitis that is difficult to cure, a thin plastic tube can be placed after percutaneous puncture of the vas deferens, or a 0.7 mm hard tube can be placed into the seminal vesicle through perineal puncture under transrectal ultrasound guidance.

Extracapsular catheter (seminal vesicle fluid can be extracted for testing and bacteriological examination during catheterization), gentamicin 80,000 to 160,000 U, Pioneer V

2.0g or sensitive antibiotics are added to 500ml of saline and continuously dripped within 24 hours. One course of treatment is 7 days. The cure rate has been reported to be 85% to 93.9%, but attention should be paid to aseptic operation and the catheter

To avoid infection.

(2) For patients whose spermatographies confirm that the ejaculatory duct is narrow and causes poor discharge of seminal vesicle fluid, the ejaculatory duct opening can be incised through the urethra; for patients with bilateral stenosis, transurethral electroresection of the spermatocyst can be performed. At this time, combined with transrectal seminal vesicle massage, purulent or bloody seminal vesicle fluid can be seen flowing out. For patients with spermatocyst polyps that affect the discharge of the ejaculatory duct opening on the same side, transurethral electroresection should also be performed.