How can we cure seminal vesiculitis?

Seminal vesiculitis is a common disease in men. It is a disease caused by bacterial infection. The main symptom is hematospermia, and it is divided into two types: specific and non-specific. The cause of most patients with seminal vesiculitis is excessive sexual intercourse, which leads to kidney damage. It may also be caused by eating spicy food and drinking a lot of alcohol. In short, once diagnosed, it must be treated immediately. So, how to treat seminal vesiculitis?

Treatment of seminal vesiculitis

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 easily diffused into the prostate and seminal vesicle secretions after binding to plasma proteins. Commonly used drugs include methoxazole (cotrimoxazole), roxithromycin, and quinolone drugs. The course of treatment is generally 1 to 3 months. If the bacterial culture of the seminal vesicle fluid is positive, the drug sensitivity test should be used.

(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 0.7mm diameter epidural catheter can be inserted through perineal puncture of the seminal vesicle under transrectal ultrasound guidance (seminal vesicle fluid can be extracted for testing and bacteriological examination during catheterization). Gentamicin 80,000 to 160,000 U, Pioneer V 2.0 g or sensitive antibiotics can be added to 500 ml of normal 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 management of the indwelling 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.

Patients with seminal vesiculitis should drink more water and urinate more often, which can help the body excrete certain toxins and bacteria. Eating more fresh fruits and vegetables can play a certain role in removing inflammation. In addition, never drink alcohol or eat spicy food. Office workers are better not to drink coffee all the time, as these foods and drinks will make the condition worse.