What Is The Best Treatment For Vesiculitis?
Some men suffer from vesiculitis, which is caused by bacteria such as E. coli. E. coli is very common in our stools, so be sure to pay attention to hygiene. Vesiculitis is divided into two categories, specific and non-specific vesiculitis, of which non-specific chronic vesiculitis is common.
What Is The Treatment Of Seminal Vesiculitis?
Vesiculitis western medicine treatment
-- Drug treatment
1. general treatment
(1) For those with a long course of disease, neurological symptoms, or heavy mental burden due to blood semen, the disease should be explained well to eliminate unnecessary mental burden.
(2) Hot water sitz bath: 1-2 times/d, the water temperature is around 40°C.
(3) Physiotherapy: mainly perineal or rectal iontophoresis, ultrashort wave, microwave irradiation, etc., once a day, 10-15 times as a course of treatment.
2. systemic treatment
(1) Antibiotics: Sensitive, sufficient, and effective broad-spectrum antibiotics are selected for acute vesiculitis to control inflammation. For chronic seminal vesiculitis, because chronic bacterial prostatitis is often associated with it, it is advisable to use fat-soluble drugs, which can easily diffuse into the prostate and seminal vesicle secretions after combining with plasma proteins. Trimethoprim (cotrimoxazole), roxithromycin, quinolones, etc. are commonly used, and the course of treatment is generally 1 to 3 months. If the bacterial culture of the seminal vesicle fluid is positive, it is selected according to the drug susceptibility test.
(2) Hemostatic agents: For those with reddish blood semen, phensulfame, aminomethylbenzoic acid (hemostatic aromatic acid) and the like can be used.
(3) Diethylstilbestrol: 1 mg, 1 time/d, 14 days as a course of treatment, can reduce the hyperemia and edema of the seminal vesicles. 5α-reductase inhibitors; Proscar 5mg, 1 time/d; or Aprelate 5mg, 2 times/d. The effect is better for those with intractable hemospermia, and each course of treatment is 1 to 3 months.
-- Other treatment:
(1) Drug injection in the seminal vesicle: For chronic seminal vesiculitis that is difficult to cure, a thin plastic tube can be placed after a percutaneous puncture of the vas deferens, or a 0.7 mm diameter epidural can be inserted through the perineal puncture of the seminal vesicle under the guidance of transrectal B-ultrasound Catheter (the seminal vesicle fluid can be extracted for testing and bacteriological examination when the catheter is placed), add 80,000 to 160,000 U of gentamicin, Pioneer V2.0 g, or sensitive antibiotics into 500 ml of normal saline, and continue dripping within 24 hours for 7 days. 1 course of treatment, it is reported that the cure rate is 85% to 93.9%, but attention should be paid to aseptic operation and management of indwelling catheters to avoid infection.
(2) For those who have ejaculatory duct stenosis and seminal vesicle fluid excretion unsmooth due to seminal tract radiography, transurethral ejaculatory duct incision can be performed; for bilateral cases, transurethral seminal vesicle resection can be performed, and transrectal seminal vesicle massage can be performed at this time, Visible purulent or bloody seminal vesicle outflow. For those who have polyps in the spermary caruncle that affect the ejaculation of the ipsilateral ejaculatory duct, transurethral resection should also be performed.
Seminal vesiculitis traditional Chinese medicine treatment
Chinese medicine treatment:
Zhi bai Dihuang Pills, Simiao Pills, Guipi Pills, etc. have certain curative effects, such as cooling blood to stop bleeding, invigorating the spleen, and strengthening the kidney.
There are several treatment methods for seminal vesiculitis, and patients can choose the treatment method that suits them according to their physical conditions. You can buy some over-the-counter medicines to treat the condition at normal times. However, it is still recommended that patients go to the hospital to find a doctor for treatment, after all, it is more secure. Don't go to the doctor in a hurry.
Disclaimer:
This website is provided for educational and informational purposes only and does not constitute providing medical advice or professional services. The information provided should not be used for diagnosing or treating a health problem or disease, and those seeking personal medical advice should consult with a licensed physician.