What are the symptoms and treatment of seminal vesiculitis?

　　Seminal vesiculitis refers to inflammation of the seminal vesicles, usually caused by bacterial infection, and is commonly seen in young and middle-aged men. Main symptoms include pain, urinary abnormalities, hematospermia, sexual dysfunction, and systemic symptoms. Primary treatment methods include lifestyle adjustments, local physical therapy, medication, surgical intervention, and prostate massage. If any abnormalities occur, timely medical consultation is recommended. Detailed analysis is as follows:

　　I. Symptoms of Seminal Vesiculitis

　　1. Pain: Includes testicular pain, perineal pain, and pain during ejaculation, which may manifest as distension or dull aching. After ejaculation, a dragging pain may also occur in the inguinal region or lower abdomen on the affected side.

　　2. Urinary Abnormalities: Inflammation from seminal vesiculitis can irritate the bladder, leading to urinary frequency, urgency, painful or burning sensation during urination, and difficulty urinating—symptoms collectively known as urinary irritative signs.

　　3. Hematospermia: Inflammation may damage small blood vessels within the seminal vesicles, causing them to rupture and bleed, resulting in blood in the semen. The semen may appear red, pink, or coffee-colored.

　　4. Sexual Dysfunction: Seminal vesiculitis may affect semen production and quality, leading to sexual dysfunction such as reduced erectile function, premature ejaculation, oligospermia, or azoospermia.

　　5. Systemic Symptoms: Seminal vesiculitis is often associated with pathogen infection. Once pathogens invade the body, they may trigger systemic reactions such as chills and fever.

　　II. Treatment of Seminal Vesiculitis

　　1. Lifestyle Adjustments: During treatment, patients should avoid excessive sexual activity or strenuous exercise to prevent symptom exacerbation. Maintaining healthy habits, avoiding alcohol and smoking, and consuming more fresh vegetables and fruits to ensure regular bowel movements can aid recovery.

　　2. Local Physical Therapy: Methods such as heat application and sitz baths can improve local blood circulation and help resolve inflammation.

　　3. Medication: Most cases of seminal vesiculitis are caused by bacterial infection, so doctors typically prescribe antibiotics, such as Roxithromycin tablets, Norfloxacin capsules, Compound Sulfamethoxazole tablets, or Cefradine tablets.

　　4. Surgical Treatment: For patients who do not respond to medication or have severe conditions, surgery may be required. The primary goal of surgery is to drain pus and remove infected tissue.

　　5. Prostate Massage: Patients with chronic seminal vesiculitis may benefit from regular seminal vesicle and prostate massage, which helps expel and drain seminal fluid, promoting recovery. However, this is contraindicated in acute cases or those with concurrent acute prostatitis.

　　It is recommended to maintain a healthy daily routine, practice good personal hygiene, improve dietary habits, regulate physical condition, and preserve overall health.