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, oval-shaped 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 from front to back, with an uneven surface. The upper end is free and 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, when inflammation occurs, drainage is poor, making it easy for bacteria to persist and difficult to cure completely. To prevent the chronicity of seminal vesiculitis, both acute and chronic cases should be treated thoroughly.(1) Use appropriate antibiotics. Acute seminal vesiculitis should be treated until symptoms completely disappear, followed by an additional 1–2 weeks of medication. Chronic seminal vesiculitis requires continued medication for more than 4 weeks to consolidate the therapeutic effect. Based on our experience, intravenous administration of Cefuroxime (second-generation cephalosporin) and Ofloxacin (a quinolone) has shown good results.
(2) Local treatment. Intravenous penetration with berberine solution: After defecation, 20 mL of 1‰ berberine solution is used for enema. A gauze pad soaked in this solution is placed in the perineal area and connected to the positive electrode of a direct current therapeutic device, while the negative electrode is applied to the pubic bone. The treatment lasts for 20 minutes each time, once daily, with 10 sessions constituting one course. Warm 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) Bed rest. Administer laxatives to maintain 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 to enhance the function of the prostate and