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Seminal Vesiculitis: a Potential Disease Entity in Men with Chronic Prostatitis
Both seminal vesiculitis and chronic prostatitis are male diseases. The prostate gland and the seminal vesicle glands are the accessory gonads of the male reproductive system, and their secretions constitute the central part of seminal plasma.

The seminal vesicles and the prostate gland are adjacent to each other. People wear a finger cuff and insert the index finger into the anus for 5-6 cm, which can be felt outside and above the prostate gland. The sacs are the seminal vesicles. The ejaculatory duct is connected to the seminal vesicle, passes through the prostate, and enters the urethra, from which the semen is ejected during intercourse.
Seminal vesiculitis and chronic prostatitis have the same infection route and etiology. The infection route of chronic prostatitis and seminal vesiculitis is mostly caused by retrograde or direct spread of the urethra, followed by lymphatic or bloodstream infection, and the pathogens are mostly E.coli, grapevine Cocci, Streptococcus faecalis. The clinical manifestations of the patients were generally the same.
Anatomically, the seminal vesicles and the prostate gland are closely adjacent, and they both open in the posterior urethra and share a common route of infection. Therefore, seminal vesicles and prostatitis often occur at the same time. Prostatitis can flow back into the seminal vesicles through the discharge of inflammatory prostatic fluid, resulting in seminal vesiculitis. The inflammation of the seminal vesicles can invade the prostate and affect the release of prostatic fluid. A study report shows that 80% of patients with prostate infection have seminal vesiculitis.
So when men suffer from these two diseases simultaneously, how to achieve a good therapeutic effect?
Western medicine usually treats seminal vesiculitis complicated by chronic prostatitis with antibiotics. The theoretical basis is that some conventional culture-negative pathogenic bacteria cause these two diseases.
But due to the special structure of the seminal vesicles and the prostate gland, the seminal vesicles are a pair of oblong sac-like organs, which are located behind the bottom of the bladder and outside the ampulla of the vas deferens. Its shape is wide at the top, narrow at the bottom, flat at the front and back, and uneven on the surface. Therefore, after such a structure causes inflammation of the seminal vesicle, it is difficult to completely discharge the inflammatory substances, resulting in residual pathogenic bacteria.
The prostate is surrounded by a lipid envelope, which makes it difficult for common drugs to enter directly and exert their effects. In addition, antibiotics themselves also have side effects such as drug resistance. So if patients choose antibiotics, it is difficult to achieve the desired therapeutic effect and may lead to an imbalance of the flora in the body, resulting in more severe consequences. Because of this, patients can take herbal medicine Diuretic and Anti-inflammatory Pill.
Prostatitis with dysuria, lower abdomen, perineum and suprapubic area bulge and pain symptoms are mostly caused by poor blood flow. Therefore, it is necessary to use drugs to promote blood circulation and remove blood stasis, promote qi and relieve pain during treatment.
In addition, due to the presence of pathogenic bacteria found in the routine examination of Western medicine, sterilization and anti-inflammatory and heat-clearing and detoxification should also be taken into account during treatment. In treating chronic seminal vesiculitis complicated with chronic prostatitis, herbal medicine can help patients eliminate uncomfortable symptoms and have diuretic functions, clearing heat, and detoxification, which can also promote the excretion of inflammatory substances in patients.
At the same time, it can also help patients improve the internal environment of the urogenital system, restore the body's physiological function, and make it difficult for patients to relapse after recovery.
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