About the disease
Spermatocystitis is an inflammation of vesicular glands, which are located in the pelvic region of males. They assist in production of semen by secreting the fluid which later on becomes semen. There are two vesicular glands. Inflammation may develop either in one or both of them.
The most common cause of spermatocystitis is prostatitis, an inflammation of the prostate. Spermatocystitis is considered to be almost always a secondary condition, the first being the inflammation of prostate. In some cases spermatocystitis can be caused by infections, such as E.coli.
Most commonly, spermatocystitis develops in the middle-aged men between 20-40 years old. The most common manifestation of spermatocystitis is blood in the semen, which can be visible during sexual intercourse or while ejaculating. It is explained by the fact that glands, responsible for producing fluid for semen, become inflamed and allow blood leakage into the semen. In some cases blood is brown.
There are two main types of spermatocystitis: acute and chronic. Acute spermatocystitis can develop as a result of acute prostatitis or an infection and develops rapidly. Symptoms appear shortly after a person contracted this condition. Chronic spermatocystitis develops gradually and can become recurrent. Chronic spermatocystitis can develop if its acute phase had not been treated on time.
- Pain in the abdominal and rectal area
- Pain exacerbates after ejaculation
- Blood in the semen
- Frequent urination
- Burning sensation after urination
- Discomfort when ejaculating
- Decreased sex drive
- During a general examination, the doctor will ask about the symptoms listed above and will examine penile and rectal area, the doctor will conduct the prostate exam to determine if it is inflamed or swollen.
- A blood test is used to rule out the possibility of other infections.
- A semen sample test is used to examine the semen more closely and determine the exact cause of spermatocystitis .
- Imaging tests are used to examine vesicular glands and the prostate and determine the extent of inflammation.
- Conservative treatment uses antibiotics to kill harmful bacteria that caused inflammation in the first place. Drugs that restore normal blood circulation and diuretic are prescribed sometimes as well. Anti-inflammatory drugs can be prescribed sometimes if the pain is very intense.
- It is important to follow healthy diet for the duration of treatment to speed up the recovery.
- Patients are also recommended to follow sexual abstinence for the duration of treatment, which may be 1-3 weeks.
- Surgical treatment is done in severe cases if one of the vesicular glands is damaged to the point it needs to be removed.