Seminal Vesicle Infection
In addition to bacterial infections, tuberculosis or schistosomiasis may be the cause for seminal vesicle infections. Treatment consists of antibiotics, the need for surgical procedures has become rare. In chronic bacterial infection, removal of the seminal vesicle may become necessary (see below).
Seminal Vesicle Abscess
A bacterial infection of the seminal vesicle may lead to an abscess, especially if known risk factors are present (diabetes mellitus, chronic catheterization, transurethral surgery). Signs and symptoms of a seminal vesicle abscess are fever and pelvic pain. Imaging is best done with CT or MRI. The first therapeutic step is percutaneous drainage of the abscess and the administration of antibiotics. Sometimes, however, surgery is necessary (transvesical or perineal approach).
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Dr. med. Dirk Manski
man...@urologielehrbuch.de