Patient's question:
Detailed medical condition and consultation purpose: + +Current general condition: Took medicine for two weeks, went for a check-up, then continued with traditional Chinese medicine, still feeling uncomfortable.
Medical history:
One month
Auxiliary examinations:
Doctor's answer:
Hello: The seminal vesicle is not an organ for storing semen, but rather an accessory gland of the male reproductive system. It consists of a pair of elongated, sac-like organs located posterior to the bladder base and lateral to the ampulla of the vas deferens. The shape is wide at the top and narrow at the bottom, slightly flattened front and back, with an uneven surface. The upper end is free and relatively dilated, forming the base of the seminal vesicle, while the lower end is thin and straight, serving as its excretory duct. Due to the structural characteristics of the seminal vesicle, if inflammation occurs, drainage is often poor, making it easy for bacteria to remain and cause chronic issues, which are difficult to cure completely. To prevent the condition from lingering, both acute and chronic seminal vesiculitis should be treated thoroughly.(1) Use appropriate antibiotics. For acute seminal vesiculitis, treatment should continue for 1–2 weeks after symptoms completely disappear; for chronic seminal vesiculitis, medication should be continued for more than 4 weeks to consolidate the effect. Based on our experience, intravenous administration of Cefuroxime (second-generation cephalosporin) and Ofloxacin (a quinolone) has shown good results.
(2) Local treatment. After defecation, use 20 mL of 1‰ berberine solution for enema. Soak a gauze pad with this medication and place it in the perineal area, connecting it to the positive electrode of a direct current therapeutic device. Apply the negative electrode to the pubic bone area. The treatment should last 20 minutes each time, once daily, with 10 sessions constituting one course. Warm water sitz baths (water temperature 42°C) and heat application to the perineal area can improve local blood circulation and help reduce inflammation. Avoid prolonged sitting to prevent pelvic congestion.
(3) Rest in bed. Administer laxatives to ensure regular bowel movements.
(4) Avoid excessive sexual activity to reduce congestion in the sexual organs. Patients with chronic seminal vesiculitis can undergo regular (1–2 times per week) massage of the seminal vesicles and prostate. This helps improve the function of the prostate and