Patient's question:
I have a colleague whose complexion has been very poor 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: Numerous red blood cells and white blood cells are observed. Semen bacterial culture is positive. Blood routine examination shows significantly decreased white blood cells in acute cases. Ultrasound examination: In cases with a shorter course of illness, the seminal vesicles appear enlarged, spindle-shaped, with the distal end being elliptical. The is rough and thickened, and the lumen contains dense, small, disorganized echogenic foci. In cases with a course lasting several years, the seminal vesicles are observed to shrink. CT examination: The morphology of the seminal vesicles cannot be clearly demonstrated. When inflammation obstructs the ejaculatory duct, CT may show dilatation of the duct lumen, with partial uneven low-density cystic expansion. Chronic inflammation leads to fibrosis of the seminal vesicles, causing them to appear smaller.