Patient's question:
Recently, I've been experiencing lower abdominal pain, and during sexual activity, the semen has been tinged with blood or small red clots. Additionally, I've noticed an increase in the frequency of nighttime urination, along with discomfort during urination, accompanied by a burning sensation. With a friend's company, I went to the hospital for a check-up, where it was diagnosed as seminal vesiculitis.Doctor's answer:
Prostatitis is one of the common infectious diseases in men, with an incidence peak in the age range of 20 to 40 years. Its main clinical manifestation is hematospermia, which can lead to male infertility and severely endanger men's health. Therefore, it is crucial to seek timely treatment for prostatitis at a formal hospital. So, how can prostatitis be effectively treated?The prostate and seminal vesicle have closely related anatomical and physiological functions. They share similarities in the sources of infection, clinical symptoms, and diagnostic methods, and they often mutually influence each other, making them "fellow sufferers." Both the prostate and seminal vesicle are accessory glands of the male reproductive system, and their secretions constitute the main part of semen. The seminal vesicle and prostate are adjacent to each other. By wearing a glove and inserting the index finger 5 to 6 centimeters into the rectum, a cystic mass can be felt at the outer superior part of the prostate, which is the seminal vesicle. The ejaculatory duct, which connects to the seminal vesicle, passes through the prostate into the urethra, and semen is expelled through this duct during sexual intercourse.
From an anatomical and physiological perspective, the seminal vesicle and prostate have a close relationship. Their inflammatory conditions share not only the same infection pathways and etiology but also similar clinical manifestations. Since both the prostate and seminal vesicle open into the posterior urethra and are adjacent to each other, seminal vesiculitis often occurs concurrently with prostatitis. Prostatitis can lead to seminal vesiculitis when inflammatory prostatic fluid refluxes into the seminal vesicle. Conversely, inflammation of the seminal vesicle can easily spread to the prostate and affect the excretion of prostatic fluid. Research studies indicate that 80% of patients with prostatitis also have seminal vesiculitis.