Seminal vesiculitis is one of the common infectious diseases in men, with hematospermia as the main clinical manifestation. Its onset age is mostly 20 to 40 years old. There are acute and chronic seminal vesiculitis and differences in specific clinical manifestations of the patients. The so-called hematospermia means that when men ejaculate, the semen discharged is pink, red, or with blood or blood clots. The phenomenon is more evident in patients with acute seminal vesiculitis.

So, can seminal vesiculitis cause hematuria?

In general, seminal vesiculitis does not cause hematuria. This is because seminal vesiculitis only enlarges the seminal vesicles, which leads to enlargement of the testicles or makes the patients suffer from painful ejaculation and semen with blood. It does not affect the urinary tract system.

However, some patients with seminal vesiculitis can induce urinary tract infections if they are not treated in time. And if the urinary tract infection becomes severe, it will cause hematuria.

In addition, there are many causes of seminal vesiculitis, such as infections or other triggers. Common factors, including trauma or long-term alcohol abuse, will cause the mucous membrane of the patient's seminal vesicle glands to become congested and edematous, and there is a high probability that the patient's capillaries will rupture. 

As a result, the seminal vesicle fluid, a major component of semen, will be mixed within the patient's blood. When the patient is in sexual life, the blood will be discharged out of his body together with his semen, which marks the symptom of hematospermia. Blood semen can remain in the patient's urethra, and when the patient urinates, hematuria will likely occur.

In addition to causing hematospermia, seminal vesiculitis can also trigger pain symptoms in the lower abdomen. When it gets severe, the pain may radiate to the perineum and the groin area. Especially when patients are engaged in sexual intercourse, the pain will be aggravated due to the contraction of the seminal vesicles. 

Besides, because of the infection of the seminal vesicles, patients may experience difficulty in urination, urinary discomfort such as burning, or obvious symptoms of urinary urgency and pain. Other symptoms include sexual dysfunction, such as loss of libido, premature ejaculation, or fever and chills. The majority of patients will suffer from genital pain as well.

Due to the particular location of the seminal vesicles, seminal vesiculitis often occurs with prostatitis and other urinary infections. The pathogenic bacteria are mostly Staphylococcus aureus, Haemolytic Streptococcus, and Escherichia coli. It can affect fertility if not treated in time. 

And owing to the structure of the seminal vesicle, the drainage is not smooth after the occurrence of inflammation, and the bacteria are easy to invade and stay, making it difficult to cure completely. To prevent the prolongation of seminal vesiculitis, whether acute or chronic, men should actively consult with their doctor for early and reasonable treatment so as not to cause more severe consequences.

Which treatment of seminal vesiculitis should patients choose? In case of persistent and recurrent hemospermia symptoms, patients may consider vesicoscopic surgical treatment. Traditional antibiotic treatments are very effective, but they can cause germs to become drug-resistant. Some Chinese herbal formulas that have obtained national patents, such as Diuretic and Anti-inflammatory Pill, have good therapeutic effects but do not produce drug resistance, which is not a bad choice.

In conclusion, seminal vesiculitis is likely to lead to hematuria. Therefore, all men should actively protect themselves from seminal vesiculitis and other urinary infections. If, unfortunately, you suffer from seminal vesiculitis, go to the hospital for timely diagnosis and treatment to prevent further damage to your health and sexual ability.

Recommended Readings:

Is Seminal Vesiculitis Treatable? What Should be Taken into Consideration?

Does Seminal Vesiculitis Cause Premature Ejaculation? Is There Any Basis?

Seminal Vesiculitis Can Affect Fertility: How to Improve Sperm Quality