What are the symptoms of seminal vesiculitis?

Patient's question:

I am 20 years old, male. In the past few months, I have frequently experienced frequent urination, urinary urgency, and dysuria. Sometimes I also feel pain during urination, with a slight burning sensation. What are the symptoms of seminal vesiculitis?

Doctor's answer:

1. Pain: Acute cases present with lower abdominal pain, radiating to the perineum and both inguinal regions. Chronic cases may experience dull pain in the suprapubic area, accompanied by discomfort in the perineum. The pain intensifies significantly during ejaculation.
2. Frequent urination, urgency, and dysuria: Acute cases show pronounced urgency and dysuria, with difficulty urinating. Chronic cases are characterized by frequent urination, urgency, along with discomfort and a burning sensation during urination.
3. Hematospermia: This manifests as blood-tinged semen during ejaculation, appearing pink, red, or containing blood clots. The hematospermia is more pronounced in acute cases.
4. Other symptoms: Fever, chills, and rigors may occur, which are systemic symptoms of acute seminal vesiculitis. Hematuria is also one of the manifestations of acute seminal vesiculitis.

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