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Seminal Vesicle Infection

In addition to bacterial infections, urogenital tuberculosis or schistosomiasis may involve the seminal vesicles. With modern antimicrobial therapy, surgical treatment has become rarely necessary. In persistent, symptomatic chronic bacterial infection, seminal vesiculectomy may be necessary (see below).

Seminal Vesicle Abscess

A seminal vesicle abscess may develop from a bacterial infection, particularly in the presence of risk factors such as diabetes mellitus, chronic catheterization, or transurethral procedures. Typical symptoms include fever, signs of sepsis, dysuria, and lower abdominal, perineal, or rectal pain. MRI is the most reliable diagnostic modality; ultrasonography or CT may be useful as initial imaging. Start empiric antibiotic therapy and adjust treatment according to culture and susceptibility results. Percutaneous drainage is indicated for a clinically relevant abscess size or failure to respond to antibiotics; see bacterial prostatitis. Open surgical revision is rarely necessary in complicated or advanced disease.

References

  Deutsche Version: Samenblaseninfektion

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