What are the causes of seminal vesiculitis?

Patient's question:

Lower abdominal pain, involving the perineum and both inguinal regions. Mild pain in the suprapubic area, accompanied by discomfort in the perineum. The pain symptoms intensify significantly during ejaculation. Symptoms of urgency and dysuria are prominent, and urination is difficult.
What kind of help is needed: What are the causes of seminal vesitis?

Doctor's answer:

Downward transmission refers to the spread of bacteria through the urethra and the vas deferens into the seminal vesicles. Seminal vesiculitis often occurs concurrently with prostatitis, primarily due to retrograde transmission. The causative pathogens are mainly Staphylococcus aureus, Streptococcus hemolyticus, and Escherichia coli, which are classified into acute and chronic seminal vesiculitis. Due to the structural characteristics of the seminal vesicles, when inflammation occurs, drainage is poor, making it easy for bacteria to establish persistent infections, and it is difficult to cure completely. To prevent the recurrence of untreated seminal vesiculitis, both acute and chronic cases should be treated thoroughly.

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