What are the early symptoms of seminal vesiculitis?
Acute seminal vesiculitis
(1) Patients with menstrual infection may have symptoms of chills, fever, general pain, and lower abdominal pain. Patients with transurethral retrograde infection have symptoms of frequent urination, urgency, dysuria, perineal and rectal pain.
(2) The seminal vesicle can be enlarged by digital rectal examination, and the tenderness is obvious, and those with abscesses may feel fluctuating.
2. Chronic seminal vesiculitis
(1) Hematospermia: This is often a characteristic of chronic seminal vesiculitis. The appearance of semen is pink, dark red, or brown, and a few are accompanied by old crumbs. The blood sperm often does not stop, and it lasts for several months. Most patients have no ejaculation pain.
(2) Sexual dysfunction: Mostly avoid sexual intercourse due to fear of blood sperm. Longer time often results in decreased sexual desire, frequent spermatorrhea, and premature ejaculation.
(3) Urinary tract symptoms: Most patients do not have obvious symptoms of urinary tract irritation. They often complain of perineal and lower abdominal discomfort, and some patients have burning urethra and hematuria after ejaculation.
(4) Symptoms of the nervous system: Because of the fear of the effects of blood sperm on the health of himself and his spouse, and the fear of affecting fertility, the burden of thought is heavier. Patients often feel dizzy and weak, especially in the elderly.
(5) Digital rectal examination: The seminal vesicles of obese people are often unclear on palpation. In some patients, bilateral seminal vesicles are slightly hard, enlarged and tender, and the boundaries of the seminal vesicles are not clear when the surrounding adhesions occur.
According to the typical clinical manifestations, the possibility of seminal vesiculitis should be considered, and it needs to be distinguished from prostatitis. Semen examination is of great significance for diagnosis, and combined with imaging examination can be diagnosed as bacterial seminal vesicle inflammation.