Can seminal vesiculitis be treated surgically?

Seminal vesiculitis is a common male disease in daily life, which can be divided into acute and chronic. There are many ways to treat seminal vesiculitis. Some people prefer surgical treatment, while others prefer drug treatment. The specific method used to treat seminal vesiculitis needs to be determined according to the patient's condition and cannot be chosen arbitrarily based on the patient's subjective wishes.

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 sitting bath: 1-2 times/day, water temperature is about 40℃. (3) Physical therapy: mainly includes perineal or rectal ion introduction, ultrashort wave, microwave irradiation, etc., once/day, 10-15 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 can easily diffuse into the prostate and seminal vesicle secretions after binding to plasma proteins.

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

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 left in place after percutaneous puncture of the vas deferens, or a 0.7mm diameter epidural catheter can be inserted into the seminal vesicle through the perineum under transrectal ultrasound guidance. 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.

(2) If stenosis of the ejaculatory duct is confirmed by stenosis of the ejaculatory duct, resulting in poor discharge of seminal vesicle fluid, a transurethral incision of the ejaculatory duct opening can be performed; if bilateral stenosis occurs, transurethral transurethral electroresection of the spermatozoa can be performed.

Because diseases like seminal vesiculitis are stubborn, patients need to persist in treatment and continue to take medication to improve their condition after the condition has improved for a period of time. Patients with seminal vesiculitis also need to pay attention to preventing infections in their daily lives to avoid recurring symptoms and endangering their personal health.