What are the clinical manifestations of seminal vesiculitis?

Seminal vesiculitis is a common disease among male friends. It is infectious and mainly affects young and middle-aged people. It is divided into acute and chronic types. The clinical manifestations vary from person to person. Some may feel mild or severe. Some may feel uncomfortable all over the body, while others may feel nothing. The main manifestation of seminal vesiculitis is hematospermia. The editor has sorted out the main clinical manifestations, hoping to help everyone find the problem as soon as possible.

(1) Hematospermia: Hematospermia is the discharge of blood during ejaculation. The semen is pink or red or contains blood clots. In acute cases, the phenomenon of hematospermia is more obvious.

(2) Frequent urination, urgency, and pain during urination: In acute cases, the symptoms of urgency and pain during urination are obvious, and urination difficulty may be seen. In chronic cases, frequent urination, urgency, and discomfort during urination, as well as a burning sensation, are the most obvious symptoms.

(3) Pain: Acute cases may cause pain in the lower abdomen, involving the perineum and the inguinal cleft on both sides. Chronic cases may cause dull pain in the suprapubic area, accompanied by discomfort in the perineum. The pain symptoms are significantly aggravated during ejaculation.

(4) Other symptoms: fever, chills, and shivering are systemic symptoms of acute seminal vesiculitis. Hematuria is also one of the manifestations of acute seminal vesiculitis. Ejaculation pain, low libido, spermatorrhea, and premature ejaculation are seen in chronic patients.

(5) Auxiliary examination: Routine examination of semen shows a large number of red blood cells and white blood cells. Bacterial culture of semen is positive. Routine blood examination shows a significant increase in white blood cells in acute cases.

1) Choose appropriate antibiotics. Acute seminal vesiculitis should be treated until the symptoms disappear completely, and then continue to take the medicine for 1 to 2 weeks; chronic seminal vesiculitis needs to continue taking the medicine for more than 4 weeks to consolidate the effect. According to our experience, the second-generation cephalosporin, Cialis, and the quinolone, Oxygen, are effective when used intravenously.

(2) Local treatment: berberine ion penetration. After defecation, use 1‰ berberine 20 ml enema. Soak a gauze pad with this medicine and place it on the perineum. Connect it to the anode of the DC electrotherapy device and apply the cathode to the pubic bone. Do this for 20 minutes each time, once a day, and 10 times as a course of treatment. Take a warm water sitz bath (water temperature 42°C) and hot compresses on the perineum to improve local blood circulation and help inflammation subside. Avoid sitting for too long to prevent pelvic congestion.

Patients with seminal vesiculitis should pay attention to bed rest, keep bowel movements smooth, and avoid too much sexual intercourse during the illness, which can reduce the damage to the sexual organs. If you are a patient with chronic seminal vesiculitis, you should also do regular prostate massage to promote blood circulation and help relieve inflammation. Do not eat spicy, raw or cold food.