What is Seminal Vesiculitis?

Inflammation of the seminal vesicles is known as seminal vesiculitis. Seminal vesiculitis commonly occurs secondary to prostatitis; however, it can occur independently too. Prompt treatment of prostatitis should be done in order to prevent the progression of prostatitis into seminal vesiculitis.

Seminal Vesiculitis

Classification and Types of Seminal Vesiculitis

There are two types of seminal vesiculitis: Acute and chronic seminal vesiculitis. Seminal vesiculitis often occurs with prostatitis. The main symptom is hematospermia, i.e., sperm is either mixed with red or coffee colored blood.

Causes of Seminal Vesiculitis

The causes of vesiculitis are many including bacterial, viral and other unidentifiable causes. Some of the causes and risk factors of seminal vesiculitis include:

  • Bacteria which may enter the seminal vesicles via urethra.
  • Inflammation of the testis or epididymis can spread locally and lead to seminal vesiculitis.
  • Infection of the prostate, rectum or bladder can spread directly to the seminal vesicles and cause seminal vesiculitis.
  • Other infections or lesions, such as tonsillitis and gingivitis may also cause seminal vesiculitis, as the bacteria travels through the blood vessels.
  • Factors which cause congestion of prostate or seminal vesicles can result in acute seminal vesiculitis, such as excessive alcohol intake, suffering from cold, excessive sexual intercourse, damage to the perineum area and prolonged pressure.
  • Any obstruction of blood to the perineum area.
  • Excessive heat in the body.

Signs and Symptoms of Seminal Vesiculitis

  • In acute seminal vesiculitis, symptom of pain is observed in the lower abdomen, perineum area and groin.
  • In chronic seminal vesiculitis, symptom of pain is present just above the upper pubis region and in the perineum area. Pain worsens after ejaculation.
  • Heaviness and pain in the rectal region which is aggravated by urination and defecation is also another sign and symptom of seminal vesiculitis.
  • Problems with urination such as frequent urination, urgent urination, burning urination.
  • Signs of difficulty in emptying the bladder.
  • Increased frequency of emission which can be purulent and bloody.
  • Blood in semen (hematospermia) and urine (hematuria).
  • Generalized weakness.
  • Symptoms of Fever and chills in case of acute seminal vesiculitis.
  • Painful ejaculation can be a sign of seminal vesiculitis.
  • Decreased sexual desire is one of the sign of vesiculitis.
  • Spermatorrhea.
  • Premature ejaculation.

Treatment for Seminal Vesiculitis

  • Antibiotics are given for treating seminal vesiculitis.
  • Patient should take rest in order to keep the bowel movements without any obstruction.
  • Doctors may also prescribe anti-inflammatory medications to treat seminal vesiculitis.
  • Patient should practice sexual abstinence.
  • Avoid spicy foods and alcoholic beverages. Eat a healthy and balanced diet.
  • Try to keep yourself relaxed and positive by meditation and by keeping yourself busy in some hobby.
  • Surgical Treatment for Seminal Vesiculitis: A new surgical method is being studied in which the ejaculatory duct is dilated and the seminal vesicle is flushed out with a scope. This procedure is called transurethral seminal tract endoscopic technique.

Written, Edited or Reviewed By:

, MD, FFARCSI

Last Modified On: April 5, 2016

Pain Assist Inc.

Pramod Kerkar
  Note: Information provided is not a substitute for physician, hospital or any form of medical care. Examination and Investigation is necessary for correct diagnosis.

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