Does Seminal Vesiculitis Require Surgical Treatment?

Seminal vesiculitis is a relatively common inflammation in the male reproductive system. Its symptoms are diverse, with hematospermia being the most typical manifestation. During ejaculation, patients may observe semen appearing red or pink, sometimes with blood clots.

Additionally, lower abdominal pain is a frequent symptom that may radiate to the perineum and groin area. Urinary symptoms such as frequency, urgency, and dysuria can also occur. Some patients may experience systemic symptoms like fever and chills.

Once diagnosed with seminal vesiculitis, patients often wonder: Does seminal vesiculitis require surgical treatment?

Conservative treatment is typically the preferred initial approach for managing seminal vesiculitis.

Doctors select appropriate antibiotics for treatment based on the type of pathogen and the results of antibiotic sensitivity tests. The treatment regimen is generally prolonged to ensure complete pathogen eradication and prevent inflammation recurrence.

In addition to antibiotics, patients should rest and avoid excessive fatigue and prolonged sitting. Overexertion can lower immune defenses, while protracted sitting can impair blood circulation in the perineum and exacerbate seminal vesiculitis symptoms.

Regarding diet, it is essential to avoid spicy and irritating foods and quit smoking and alcohol consumption. These unhealthy dietary habits may stimulate the seminal vesicles and worsen inflammatory responses.

Adjustments in sexual activity are also crucial. During acute episodes of seminal vesiculitis, sexual activity should be temporarily avoided to prevent recurrent congestion and worsening inflammation of the seminal vesicles. Once symptoms improve, gradually resume sexual activity, but in moderation to avoid excessive frequency.

With conservative treatment over time, most patients with seminal vesiculitis experience significant symptom improvement or complete recovery.

Does Seminal Vesiculitis Require Surgical Treatment?

If seminal vesiculitis progresses to form a seminal vesicle abscess, antibiotics alone often struggle to eliminate the abscess effectively. In such cases, surgical incision and drainage of the abscess become necessary to remove pus and necrotic tissue, promoting the resolution of inflammation.

When seminal vesiculitis leads to seminal vesicle obstruction, causing difficulty in semen discharge and thereby affecting fertility, surgical relief of the obstruction is an important treatment option. Surgical restoration of vesicular patency helps improve semen quality and enhances fertility opportunities.

Moreover, if seminal vesiculitis recurs despite prolonged conservative treatment, severely impacting the patient's quality of life, surgery may also be considered.

The standard surgical approach for seminal vesiculitis is vesiculoscopy. This minimally invasive procedure involves a small endoscope directly entering the seminal vesicle, providing a clear visualization of vesicular lesions. Under direct view, doctors can remove inflammatory lesions, blood clots, and pus, rinse, and drain the cyst, effectively treating seminal vesiculitis.

However, surgical treatment has risks and drawbacks:

Surgery itself carries inherent risks such as bleeding, infection, and other complications. Additionally, post-surgical recovery requires a certain period during which patients may experience discomfort.

Furthermore, while surgery can address current seminal vesiculitis issues, it does not guarantee the disease will not recur. Therefore, after surgery, patients still need to adjust their lifestyles, prevent infections, maintain a positive mindset, cooperate with medical treatment, and adhere to personal hygiene practices. This can enhance treatment efficacy and achieve a prompt return to healthy living.

In conclusion, whether seminal vesiculitis requires surgical treatment depends on careful consideration of the patient's specific condition, the severity of symptoms, the effectiveness of conservative treatment, and fertility needs.

When making treatment decisions, patients should communicate fully with doctors, understand the pros and cons of various treatment methods, and collaboratively devise the most suitable personalized treatment plan. For chronic seminal vesiculitis, consuming Diuretic and Anti-inflammatory Pill is more effective, effectively eliminating inflammation and reducing the likelihood of recurrence.

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