How does traditional Chinese medicine treat seminal vesiculitis?

Seminal vesiculitis is a common disease in men, usually caused by bacterial infection, including Escherichia coli, Proteus, etc. At present, most patients are young people, and it is very rare in the elderly. In the new bed, the main manifestation of seminal vesiculitis is hematospermia, which brings great inconvenience to men's life. In addition to Western medicine treatment of seminal vesiculitis, Chinese medicine treatment of seminal vesiculitis is also relatively effective.

How does traditional Chinese medicine treat 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 0.7 mm diameter epidural catheter can be placed through perineal puncture of the seminal vesicle under transrectal ultrasound guidance (seminal vesicle fluid can be extracted for testing and bacteriological examination during catheterization), with 80,000 to 160,000 U of gentamicin and Pioneer V

2.0g or sensitive antibiotics are added to 500ml 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 indwelling catheters 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.

The above is the Chinese medicine treatment method for seminal vesiculitis. I believe everyone has a certain understanding of it. In short, it is recommended that all men should pay attention to their physical health and protect their organs. In particular, seminal vesiculitis should be prevented. After all, this disease may cause sexual dysfunction and may also cause other complications.