Seminal vesiculitis is a prevalent male infectious disease, typically triggered by infections like Staphylococcus aureus, Escherichia coli, or Streptococcus hemolyticus. It often develops as a complication of prostatitis, resulting in inflammation in the seminal vesicle area due to retrograde infection. While many men may not be well-informed about the symptoms and complications associated with seminal vesiculitis, a common question arises: Can it lead to scrotal sagging?
Seminal vesiculitis primarily affects the seminal vesicles, vital components of the male reproductive system situated below the bladder. These pouch-like structures play a crucial role in storing semen and transporting it to the urethra, where it is expelled along with sperm during ejaculation. When inflammation occurs due to seminal vesicle infection, it typically presents various symptoms:
1. Hematospermia: A prevalent clinical sign of seminal vesiculitis is hematospermia, characterized by semen that is pink, red, or contains blood clots. This phenomenon is more pronounced in acute cases.
2. Pain: Individuals with seminal vesiculitis often experience pain in the scrotum and perineal region. Acute cases may involve lower abdominal pain, extending to the perineum and both groins. In chronic instances, vague suprapubic discomfort and perineal sensations may be present, with painful symptoms exacerbated during ejaculation.
3. Urinary Symptoms: Frequent urination, painful urination, and urinary urgency are common. Acute cases may exhibit noticeable urinary urgency, pain, and difficulty in urination. In chronic cases, symptoms such as frequent urination, urinary urgency, urinary difficulty, and a burning sensation during urination may manifest.
4. Fever and Chills: If the disease remains untreated following its onset, declining immunity can hinder normal thermoregulation, leading to cold or fever symptoms. At this point, prompt treatment becomes essential.
It's important to note that scrotal swelling and pain are typically consequences of the inflammatory response triggered by seminal vesiculitis. The infection induces localized congestion and swelling, causing discomfort in the scrotal area. However, it's crucial to understand that the sensation of scrotal sagging is likely not indicative of true organ prolapse but rather localized discomfort arising from inflammation.
The main causes of scrotal sagging include:
1. Orchitis: Men with orchitis may experience abnormal testicular prolapse, characterized by red and swollen skin, enlarged testicles, a sensation of prolapse, and tenderness in the affected testicle.
2. Varicocele: Men with varicocele may also exhibit abnormal testicular prolapse. Other signs include scrotal sagging on the affected side, localized swelling, and a sagging sensation. Pain is often described as more pronounced than fatigue and worsens after prolonged standing, with relief or resolution of symptoms upon lying down and resting.
3. Prostatitis: Men with prostatitis may also experience abnormal testicular sagging, along with symptoms like frequent urination and painful urination.
4. Reproductive and Urinary System Diseases: Various conditions, such as testicular cysts, scrotal testicular effusion, and seminal vesiculitis, may lead to abnormal testicular sagging.
Once a diagnosis of seminal vesiculitis is confirmed, prompt medication is essential. Antibiotics are the primary treatment, but if antibiotic therapy proves ineffective, considering non-resistant and drug-resistant traditional Chinese medicine, such as Diuretic and Anti-inflammatory Pill, is advisable. This traditional remedy possesses anti-inflammatory, sterilizing, detoxifying, and pain-relieving properties, aiding in inflammation elimination, pain relief, immune system enhancement, and complete recovery.
Additionally, maintaining good hygiene and adopting a healthy lifestyle are crucial for patients' well-being.
