How should seminal vesiculitis be treated?

The treatment of seminal vesiculitis mainly includes the following aspects: 1. **Pharmacological treatment**: - Antibiotics such as macrolides, sulfonamides, quinolones, and cephalosporins are used for anti-infective therapy, typically administered continuously for more than two weeks. - Hemostatic agents, such as etamsylate, vitamin K3, and adrenochrome monosemicarbazone, are used for patients with deeply discolored hemospermia. - Other medications, such as diethylstilbestrol and 5α-reductase inhibitors, may help reduce congestion and edema of the seminal vesicles. 2. **Surgical treatment**: - Seminal vesiculoscopy: indicated for patients with recurrent hemospermia unresponsive to conservative treatment; allows identification of the underlying cause and targeted intervention. - Percutaneous puncture or transurethral incision and drainage: suitable for patients with seminal vesicle abscess. 3. **Traditional Chinese medicine (TCM) treatment**: Based on TCM syndrome differentiation, appropriate herbal formulas are selected for individualized treatment. 4. **Other therapies**: Include hot sitz baths, psychotherapy, and physical therapies such as iontophoresis in the perineal or rectal area, ultrashort wave therapy, and microwave irradiation.