How to distinguish between seminal vesiculitis and similar diseases?

Patient's question:

What diseases are easy to confuse with epididymitis? Some diseases have very similar symptoms, which is a concern about easy confusion??? Medical history and treatment outcomes: No hereditary diseases What kind of help is needed: Professional guidance

Doctor's answer:

1. Functional hematospermia refers to the production of blood in semen that is not caused by organic diseases of the reproductive system, but rather by physiological movements such as semen filling and emptying.
2. Inflammatory hematospermia is a relatively common cause. Fletcher reported that among 81 patients with hematospermia, 54 cases were due to inflammation, with the most common cause being seminal vesiculitis, followed by prostatitis, secondarily by urethral papillitis, and fifthly by epididymitis.
3. Tuberculosis-induced hematospermia is a common disease. It includes tuberculosis of the seminal vesicles, prostate, and vas deferens, among others. Its recurrence is often due to hematogenous dissemination, which can originate from the lungs or the urinary tract, but more commonly from epididymal tuberculosis. When the vas deferens is affected by tuberculosis, the prostate, seminal vesicles, and epididymis are usually also involved. Tuberculosis can cause ulcers in the seminal vesicle wall or prostate, leading to hematospermia.