Most patients with vesiculitis have effective anti-infection and symptomatic treatment, but some patients with vesiculitis have poor results with medication, recurrent hematospermia and prolonged disease course, becoming persistent hematospermia. The incidence of this disease has been on the rise in recent years, and this disease has brought deep pain to patients and numerous problems to doctors. 1. What is vesiculitis? The former includes acute vesiculitis and chronic vesiculitis, while the latter includes vesicovaginal tuberculosis and gonorrheal vesiculitis. The former includes acute vesiculitis and chronic vesiculitis, and the latter includes vesicovaginal tuberculosis and gonorrheal vesiculitis. 2. What are the causes of vesiculitis? (1) Upstream infection, which is caused by bacteria spreading upstream to the seminal vesicles through the urethra and ejaculatory ducts, is most common; (2) Lymphatic infection, which is caused by inflammation of the genitourinary tract or intestinal tract through the lymphatic route to infect the seminal vesicles; (3) Bloodstream infection, which is caused by pathogens from an infection site in other parts of the body circulating through the bloodstream to infect the seminal vesicles. 3. What are the clinical manifestations of vesiculitis? (1) Pain: Acute cases may have severe pain in the lower abdomen, radiating to the perineum and both groins. In chronic cases, there is a lot of vague pain in the suprapubic area, accompanied by discomfort in the perineum. The pain symptoms are significantly aggravated during ejaculation. (2) Urinary tract symptoms: In acute cases, symptoms of urinary urgency and painful urination are obvious, and difficulties in urination can be seen. In chronic cases, frequent and urgent urination with discomfort in urination and burning sensation is obvious. (3) Hemospermia: It is manifested as the discharge of hematosperm during ejaculation, and the semen is pink or red or with blood clots. In acute cases, the phenomenon of hematosperm is more obvious. (4) Other symptoms: Acute vesiculitis may have systemic symptoms such as fever, chills and chills. Hematuria, too, is one of the manifestations of acute vesiculitis. Chronic vesiculitis is mostly manifested as low libido, seminal emission, premature ejaculation and other symptoms. 4.What are the tests needed for vesiculitis? (1) semen routine examination ejaculate exclude semen pink, red or with blood clots, examination is can find a large number of red cells, white blood cells, semen culture can be found pathogenic pathogens typical symptoms. (2) Ultrasound of the seminal vesicle gland, which is often referred to as color ultrasound, acute vesiculitis can be seen as enlarged seminal vesicles, which can be oval in shape, with hairy edges and disorganized dotted echogenicity within the vesicle after the formation of abscess. If the patient has had the disease for a long time, the seminal vesicles can be seen to shrink and be shuttle-shaped, and the wall of the vesicles can be thickened and rough, and the echogenicity of the vesicles can be enhanced and the sound transmission is poor. (3) CT and magnetic resonance imaging (MRI) scans MRI is the most accurate method of non-invasive examination. It can accurately determine the size and shape of the seminal vesicles, the degree of bleeding, the presence of blood clots, and the presence of dilated ejaculatory ducts. (4) Vesiculoscopy Vesiculoscopy is an invasive test that allows direct visualization of the seminal vesicles and treatment under the vesiculoscope. It is the most direct and accurate examination and treatment method for vesiculitis.