Urethritis and seminal vesiculitis are common male urinary diseases. However, due to their similar symptoms, it is not easy to distinguish them in the clinic. Next, I will introduce the specific differences between them to teach you how to tell them.
1. The different location of the disease
Seminal vesiculitis refers to the inflammation of the male seminal vesicle, which belongs to the diseases of the reproductive system. Urethritis refers to the inflammation of urinary mucosa, which belongs to the urinary system and is frequently seen in women.
2. Different symptoms
Both seminal vesiculitis and urethritis have the symptoms of urgency, frequency, and pain of urination. However, the main manifestations of urethritis are the pain of urination and pyorrhea of urethra (when not urinating), and the most obvious manifestation of seminal vesiculitis is blood in semen.
3. Different pathogens
Seminal vesiculitis is caused by Staphylococcus aureus, hemolytic streptococcus, and Escherichia coli. Urethritis is caused by pathogenic microorganisms (such as gonococcus, chlamydia, trichomonad, or fungi).
4. Different inspection methods
In general, semen routine examination, B-ultrasonic examination, CT, and MRI are needed to diagnose the cause of seminal vesiculitis. But urethritis examination is mainly to do urine routine examination, and some need to do urethrocystoscopy in order to determine the cause.
5. Different infectivity
Seminal vesiculitis itself won't spread to others, but sexual abstinence should be practiced in an acute attack period to avoid the aggravation of inflammation. Patients with chronic seminal vesiculitis can have a sexual life.
However, urethritis is infectious, and it is often caused by unclean sexual behavior, at least one month after the onset of sexual life can not be carried out to avoid cross-infection.
6. Different recurrence rate
After complete cure, as long as the patient develops a good hygienic habit and has no longer contact with pathogenic microorganisms, it will not recur. However, patients with seminal vesiculitis will recur because they don't pay attention to life (such as fatigue, sedentary, drinking, and spicy food).
7. Different treatment methods
Urethritis is mainly treated with antibiotics. For different types of urethritis, the antibiotics used are different. The main purpose of urethritis treatment is to block the transmission and avoid self infection and complications, and the patient's spouse also needs to be treated at the same time.
The principle of treatment of seminal vesiculitis is to select the appropriate antibiotic and antibacterial treatment and treat hematospermia actively. The key treatment for acute seminal vesiculitis is active anti-infection. The general treatment course is for two weeks. If there is an abscess in the seminal vesicle, it is necessary to cut the abscess and drain the pus through the operation.
Hematospermia caused by chronic seminal vesiculitis usually subsides by itself after a period of time. Some patients also need anti-infective treatment, and the course of treatment is also for two weeks. Some patients have repeated condition, and a few patients will have long-term intractable hematospermia, which can be treated by spermatoscopy.
However, for patients with drug-resistant seminal vesiculitis, conservative Chinese medicine Diuretic and Anti-inflammatory Pill can be used. The formula has the functions of clearing away heat, detoxification, sterilization, and anti-inflammation. It can effectively remove the inflammation in the seminal vesicle gland and genitourinary tract, relieve pain and swelling, and discomforts of the genitourinary tract.