Spermatocystitis (seminal vesiculitis) is an inflammation of the seminal vesicles. This condition is rarely isolated and is usually combined with urethritis, prostatitis, and epididymitis (inflammation of the urethra, prostate, and epididymis). The disease is associated with a bacterial infection. This may be the result of a nonspecific inflammatory process or a sexually transmitted disease. Vesiculitis is usually treated with conservative methods, and surgery is required less often. Men from any country in the world can successfully undergo treatment of spermatocystitis in specialized clinics in Germany.
Content
- Symptoms
- Diagnostics
- Conservative treatment of vesiculitis
- Surgical treatment of spermatocystitis
The disease is usually treated conservatively with the help of antibiotics. In the case of the formation of an abscess, a minimally invasive procedure, a puncture vesiculotomy, is performed. Doctors less often perform open surgery to remove an abscess.
You can undergo your treatment in one of the following clinics: University Hospital of Ludwig Maximilian University of Munich, Urology Clinic Munich-Planegg Munich, or University Hospital Ulm.
The specialists of the Booking Health company will take care of the arrangements for your trip. They will help you to choose a specialized clinic, tell you about new treatment methods, make an appointment without a long waiting period, help you to prepare documents and apply for a visa, take care of your airline tickets and transfer to the clinic, as well as provide interpreting services. You can also contact your personal medical coordinator with any questions.
Symptoms
Vesiculitis causes the following four groups of symptoms in men:
- urinary disorders include frequent urge to urinate, pain at the end of urination, and excretion of blood in the urine;
- sexual disorders are commomn for the acute form of the disease, there is pain during erection, nocturnal spontaneous ejaculation, pus and blood in the semen, painful ejaculation, and in chronic vesiculitis, semen leakage, premature ejaculation, and erectile dysfunction;
- pain is typically felt in the perineum, radiates to the penis and scrotum, and increases with erection;
- common symptoms include fever, weakness, and malaise.
In the case of seminal vesicle empyema, an abscess develops in the perineum. This can be palpated as a volumetric mass with fluctuation (fluctuation of the fluid inside). In the case of inflammation of the organs surrounding the seminal vesicles, doctors can palpate an inflammatory infiltrate (compaction) in the perineum.
Diagnostics
Vesiculitis can be associated with different causes, so different forms of the disease require a different approach to treatment. It is important for doctors to establish the causative agent of spermatocystitis in order to select an effective therapy.
Possible causative agents of the disease are:
- non-specific microflora: E. coli, staphylococcus aureus, proteus, enterococcus, etc.;
- gonococcus;
- chlamydia, ureaplasma, mycoplasma, and trichomonas are less common.
PCR and culture of urinary tract sediment are performed to diagnose the disease. Based on the results of sowing, not only the type of pathogen is determined, but also its sensitivity to antibiotics is assessed, which increases the effectiveness of antibiotic therapy.
Another goal of diagnostics is to determine the type and severity of vesiculitis, as well as the spread of the inflammatory process. Doctors use ultrasound, CT, and MRI scans to visualize a man's reproductive system.
There are four types of vesiculitis:
- catarrhal vesiculitis is an inflammation of the mucous membrane only;
- deep vesiculitis is an inflammation that spreads to the muscle layer and submucosa;
- seminal vesicle empyema is a severe purulent inflammation with tissue destruction, often requiring a surgical intervention;
- perivasculitis is an inflammation of the tissues surrounding the seminal vesicles.
Conservative treatment of vesiculitis
The treatment of spermatocystitis in Germany is usually conservative. A patient is prescribed broad-spectrum antibiotics that destroy a bacterial infection.
Antibiotics are prescribed as soon as a patient comes to the hospital. After receiving diagnostic information, a treatment regimen can be adjusted, considering the identified pathogens and their sensitivity to antibacterial agents.
The treatment for chronic vesiculitis includes the following:
- long-term intake of antibiotics;
- physiotherapy;
- seminal vesicle massage;
- microclysters;
- rectal swabs.
Surgical treatment of spermatocystitis
Seminal vesicle empyema requires a surgical intervention. This is performed on an emergency basis to avoid the spread of infection to surrounding organs and tissues and reduce the consequences of the disease for the reproductive health of men.
Patients undergo excision and funiculus drainage. Instead of open surgery, urologists at the German clinics usually use puncture vesiculostomy, a minimally invasive percutaneous procedure that does not require a long-term rehabilitation. The intervention is performed through a skin puncture under ultrasound guidance. A doctor leaves a drain in the wound to evacuate the pus. In severe cases, a vesiculectomy, the removal of the seminal vesicles, may be required.
You are welcome to use the Booking Health service to undergo your treatment of spermatocystitis in Germany. On our website, you can find prices, compare them, and make an appointment at the hospital at the best price. In acute vesiculitis, it is desirable to start treatment as soon as possible. The Booking Health website has a convenient function for sorting clinics by the nearest appointment date. The Booking Health staff will help you to find the best Urology Center and arrange your trip. When making an appointment at the clinic through our service, the treatment will cost you less and you will be able to receive medical care earlier.
Authors:
The article was edited by medical experts, board-certified doctors Dr. Nadezhda Ivanisova and Dr. Vadim Zhiliuk. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!
Sources:
Medical News Today
Verywell Health
The Lancet
