How can seminal vesiculitis be cured quickly?

Everyone is familiar with seminal vesiculitis, which may cause male infertility. Seminal vesiculitis is one of the common infectious diseases among male friends and a common disease among young men. The onset age is mostly between 20 and 40 years old, with hematospermia as the main cause. The serious harm of seminal vesiculitis is mainly manifested in male infertility, with a high incidence rate and difficult to cure. If it is not treated in time, it may also cause many complications. How can seminal vesiculitis be cured?

Western medicine treatment methods for 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). 80,000 to 160,000 U of gentamicin, 2.0 g of Pioneer V 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.

Treatment of seminal vesiculitis in traditional Chinese medicine

Chinese medicine treatment:

Zhibai Dihuang Pills, Simiao Pills, Guipi Pills, etc. have the effects of cooling blood and stopping bleeding, strengthening the spleen and strengthening the kidneys, and have certain therapeutic effects.

If patients with seminal vesiculitis want to recover as soon as possible, they must pay attention to the relevant care during the treatment process, strengthen their physical fitness and improve their body's resistance to disease. Do not sit for a long time. Office workers should stand up and move around every 1 to 2 hours. Eat a light diet, pay attention to dietary hygiene, and do not eat spicy and irritating foods to avoid prostate congestion. The important thing in treating seminal vesiculitis is to find the right doctor and use the right medicine, otherwise everything will be in vain.