Is a seminal vesicle cyst the same as seminal vesiculitis?

Patient's question:

I went to the hospital for a check-up and was told I have seminal vesicle cysts. Is a seminal vesicle cyst the same as seminal vesiculitis? How are seminal vesicle cysts treated? What precautions should be taken?

Doctor's answer:

The two are different, and the decision is based on the size of the cyst, clinical symptoms, and the presence of complications.
1. Conservative treatment is suitable for smaller cysts, mild symptoms, younger patients, and requires regular follow-up. For patients with infection or hematospermia, oral antibiotics and hemostatic agents should be administered.
2. Surgical treatment is appropriate for larger cysts, complications with stones, significant symptoms, and cases that are difficult to cure.
3. Injecting absolute alcohol or tetracycline solution into the cyst can make it shrink.
4. Transurethral surgery should be performed for patients with seminal vesicle cysts caused by stricture or obstruction of the ejaculatory duct, including transurethral incision of the ejaculatory duct or resection of the verumontanum.

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