Patient's question:
I have a colleague who has been looking very pale recently. Everyone around him suggested that he go to the hospital for a check-up. Later, he did go, and the doctor confirmed that he had developed seminal vesiculitis. What tests should be done?Doctor's answer:
Routine semen analysis: Shows a large number of red blood cells and white blood cells. Semen bacterial culture is positive. Blood routine examination, acute cases show a significant decrease in white blood cells in the blood. Ultrasound examination: In cases with a shorter course of illness, the seminal vesicles are enlarged, appearing (spear-shaped), with their distal ends being elliptical. The (capsular wall) is rough and thickened, and the (within the capsule) shows disorganized, dense small dot-like echoes. In cases with a course of illness lasting several years, the seminal vesicles are shrunk. CT examination: Cannot reflect the morphology within the seminal vesicles. When inflammation blocks the ejaculatory duct, CT can show dilatation of the lumen, with some (appearing as uneven low-density cystic expansion). Chronic inflammation leads to fibrosis of the seminal vesicles, with the seminal vesicles appearing smaller.