How to distinguish between seminal vesiculitis and similar diseases?

Patient's question:

What diseases are easy to confuse with seminal vesiculitis? Some diseases have very similar symptoms, which is a concern about easy confusion???. Treatment history and effectiveness: 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 attributed to inflammation. The most common cause of hematospermia is seminal vesiculitis, followed by prostatitis, secondarily by hyperplasia of the verumontanum, and fifthly by epididymitis.
3. Tuberculosis-induced hematospermia is a common disease. It includes tuberculosis of the seminal vesicle, prostate, and vas deferens, among others. Recurrence is often due to hematogenous dissemination, which can originate from the lungs or the urinary tract, with a higher incidence from epididymal tuberculosis. When the vas deferens is affected by tuberculosis, the prostate, seminal vesicle, and epididymis are usually also involved. Tuberculosis can cause ulcers in the seminal vesicle wall or prostate, leading to hematospermia.