Post Date November, 17 2024
Seminal vesiculitis is caused by Escherichia coli, Klebsiella pneumoniae, Proteus, and Pseudomonas. When the adjacent organs of the seminal vesicle, such as the prostate, posterior urethra, colon, etc., are infected or in any case cause congestion of the prostate and seminal vesicles, unscrupulous bacteria will seize the opportunity to disrupt and invade the seminal vesicles, leading to seminal vesiculitis.
How to treat seminal vesiculitis?
1. Regularization of life. Combine work and rest, avoid smoking, alcohol, and spicy and stimulating foods.
2. Avoid excessive rooms. Reduce the degree of organ congestion. Patients with chronic seminal vesiculitis can regularly massage the seminal vesicle and prostate gland. One is to enhance the blood circulation of the prostate and seminal vesicles, and the other is to promote the discharge of inflammatory substances.
3. Do a good job in patient ideological work. Eliminate the concerns of patients, especially those of patients with hematospermia, and enhance their confidence in overcoming the disease.
4. Choose appropriate antibiotics. Acute seminal vesiculitis should be treated until the symptoms completely disappear before continuing medication for 1-2 weeks; Chronic seminal vesiculitis requires continued medication for at least 4 weeks to consolidate the therapeutic effect. Based on our experience, the application of cephalosporins, second-generation silicin, and quinolones in the vein is very effective.
5. Rest in bed. Provide laxatives to keep bowel movements unobstructed.
6. Local treatment. Ions of berberine are infused, and 20 milliliters of 1 ‰ berberine are used for enema after defecation. A gauze pad soaked with this medicine is placed on the perineum and connected to the anode of a direct current therapy device. The cathode is applied to the pubic bone for 20 minutes each time, once a day, and every 10 times for a treatment course.
The main hazards of seminal vesiculitis
1. Blood semen: The appearance of semen is pink, dark red, or brown, which can last for several years and has no pain during ejaculation. It is common to see cysts with seminal vesicle stones between the ages of 22 and 24, and about 40% of patients seek treatment with hematospermia as the first symptom. Small stones are often discharged when bloody semen is discharged.
2. Hematuria: It can be either hematuria or early or late stage hematuria, especially after ejaculation.
3. Difficulty in urination: Cysts compress the bladder neck and posterior urethra, and the degree of difficulty in urination is related to the size and location of the cyst. Domestic reports show that 9.1% of patients with seminal vesicle cysts have difficulty urinating, and patients with a cyst volume of 400-minute have bladder irritation symptoms such as frequent urination and urgency.
4. Male infertility: In addition to congenital abnormalities in the development of seminal vesicles, there are also cases of ejaculatory duct stenosis or obstruction, oligospermia, and asthenospermia. Long term chronic seminal vesiculitis can lead to atrophy of the seminal vesicles, severe decline in function, and decreased fertility. Some patients have chronic orchitis that affects sperm output. According to domestic statistics, infertility caused by seminal vesicles accounts for 6.8%.
