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Treatment of urolithiasis at the Oxford Medical Kiev private clinic

Treatment of vesiculitis

Vesiculitis is an inflammatory disease of the vesicles, or seminal vesicles. When an inflammatory process develops, swelling of the vesicles and an increase in their size occur. As a result, the seminal vesicles may exert pressure on the prostate gland and the urethra, which leads to impaired function and the appearance of characteristic symptoms.

Diagnosis and treatment of vesiculitis are carried out by urologists or andrologists. In Kyiv, it is possible to receive a consultation with an experienced specialist, undergo the necessary laboratory tests, and complete examinations using high-precision equipment at the medical center "Oxford Medical".

Causes of vesiculitis

Vesiculitis is also referred to as spermatocystitis — a term derived from the Latin words sperma (sperm) and cystis (bladder), which directly indicates involvement of the seminal vesicles.

The seminal vesicles are paired organs of the male reproductive system located on both sides of the prostate gland. They synthesize fructose, ascorbic acid, and proteins — substances necessary for sperm formation — and also participate in the process of ejaculation.

When inflammation develops, swelling of the seminal vesicles and an increase in their size occur. As a result, they may exert pressure on the prostate gland and the urethra, leading to impaired function and the appearance of characteristic symptoms.

Diagnosis and treatment of vesiculitis are carried out by urologists or andrologists. In Kyiv, it is possible to receive a consultation with an experienced specialist, undergo laboratory tests, and complete the necessary examinations using high-precision equipment at the medical center Оксфорд Медікал.

Most often, vesiculitis develops against the background of inflammation or infection in other organs of the genitourinary system, but it may also occur as an independent condition.

The most common causes include:

  • urethritis — inflammation of the urethra;

  • cystitis — inflammation of the urinary bladder;

  • prostatitis — inflammation of the prostate gland;

  • sexually transmitted infections (chlamydia, mycoplasmosis, and others);

  • chronic inflammatory diseases of any localization (ENT diseases, etc.);

  • congenital abnormalities of the genitourinary system;

  • decreased tone of the seminal vesicles;

  • dilation of hemorrhoidal veins, among others.

The risk of developing the disease increases in the presence of weakened immunity, hypothermia, injuries to the groin area, frequent constipation, physical inactivity (leading to pelvic blood congestion), high sexual activity or prolonged abstinence, as well as harmful habits.

Types of vesiculitis

Vesiculitis develops as an acute inflammation of the seminal vesicles and responds well to treatment when diagnosed early. If timely treatment is missed, it may lead to complications and progress to a chronic form.

Acute vesiculitis has three stages of development:

  • catarrhal — swelling and a slight enlargement of the seminal vesicles occur. At this stage, conservative therapy is most effective;

  • purulent — inflammation intensifies, leukocyte death and destruction of vesicular cells occur, resulting in the formation of pus;

  • advanced (spread) — inflammation spreads to adjacent tissues and other organs of the genitourinary system.

Vesiculitis: symptoms of the disease

Acute vesiculitis is characterized by pronounced symptoms.
Most men complain of:

severe pain in the groin area radiating to the lower back;

spasms during urination and defecation followed by pain relief;

involuntary ejaculation;

admixtures of blood, pus, or mucus in seminal fluid;

erectile dysfunction;

increased body temperature up to 38–39 °C;

general weakness and headache.

List of diseases

When vesiculitis progresses to the chronic stage, the severity of symptoms decreases. This may create a false impression that the disease has resolved. However, inflammation persists in a low-grade form and leads to further dysfunction of the genitourinary system.

Chronic vesiculitis is characterized by alternating periods of remission and exacerbation. During remission, symptoms become barely noticeable or disappear completely, while during exacerbation they intensify again.

Chronic vesiculitis may cause:

  • periodic dull aching pain;

  • frequent urination;

  • discomfort during sexual intercourse and ejaculation;

  • erectile dysfunction;

  • decreased libido.

During exacerbations, all signs typical of the acute stage may appear.

Diagnosis of vesiculitis

When signs of vesiculitis appear, it is necessary to consult a urologist or andrologist. During the consultation, the specialist will assess the patient’s complaints, review the medical history, and perform a physical examination.

To уточнити the diagnosis and determine the causes of the disease, the doctor may prescribe:

  • microscopic analysis of a urethral smear and, if necessary, prostatic secretion;

  • semen analysis;

  • urinalysis;

  • complete blood count and biochemical blood test;

  • ultrasound examination of the prostate gland, seminal vesicles, testicles, and urinary bladder;

  • vesiculography — X-ray imaging of the seminal vesicles using a contrast agent;

  • computed tomography or magnetic resonance imaging.

Laboratory tests help confirm the presence of an inflammatory process in the body and identify the infectious agent. Ultrasound and other instrumental studies allow assessment of the size and structure of the seminal vesicles, detection of signs of vesiculitis, determination of its stage, and diagnosis of diseases of adjacent organs.

Thanks to comprehensive diagnostics, the doctor can establish an accurate diagnosis and select the most effective treatment.

Vesiculitis: treatment of inflammation of the seminal vesicles

The treatment strategy for vesiculitis depends on the stage and cause of the disease, as well as the presence of concomitant conditions.

Acute catarrhal vesiculitis responds well to conservative treatment, whereas purulent and complicated forms usually require surgical intervention.

Conservative treatment of vesiculitis

Conservative therapy may include:

  • the use of anti-inflammatory, antibacterial, immunostimulating, and other medications;

  • prostate massage;

  • physiotherapy procedures — shockwave therapy, electrophoresis, laser therapy, magnetic therapy;

  • therapeutic exercise.

Drug therapy helps eliminate infection and inflammation. Physiotherapy, massage, and therapeutic exercises improve microcirculation, metabolic processes, and cellular regeneration, thereby accelerating recovery.

Surgical treatment of vesiculitis

Indications for surgical treatment include:

  • accumulation of pus in the seminal vesicles;

  • formation of fistulas between the seminal vesicles and the intestine or urinary bladder.

In the first case, incision of the abscess, removal of pus, and placement of drainage to evacuate exudate are required. The procedure may be performed via puncture or vesiculotomy — surgical resection of the seminal vesicles.

In complicated cases, vesiculectomy — removal of the seminal vesicles — may be necessary. If fistulas form in adjacent organs, reconstructive surgery is performed to restore the integrity of the walls.

At Оксфорд Медікал, surgical procedures are carried out in a high-tech surgical inpatient unit using state-of-the-art expert-class equipment. This ensures maximum precision of interventions and minimizes damage to healthy tissues, thereby reducing the rehabilitation period.

Prevention of inflammation of the seminal vesicles

To reduce the risk of developing the disease, specialists recommend:

  • undergoing an annual urologist examination even in the absence of complaints;

  • timely treatment of all diseases;

  • strengthening the immune system;

  • avoiding hypothermia and injuries to the groin area;

  • maintaining regular sexual activity;

  • using barrier contraceptive methods;

  • engaging in regular physical exercise;

  • following a balanced diet;

  • giving up harmful habits.

At Oxford Medical diagnosis and treatment of vesiculitis are provided by highly qualified specialists with many years of experience.

To schedule a consultation, please call our contact center or submit a request on the website.

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Анонімний користувач 20.01.2026
Пообіцяв залишити відгук, якщо все буде добре. Довго замислювався над проведенням вазектомії. Ті хто в темі, ті зрозуміють. Лікаря порекомендували наші друзі, які вже через це пройшли. Операція тривала хвилин 15. Як для мене, зовсім безболісно. Під час операції, Павло Валерійович попереджав, що буде робити, і коли буде неприємно, а саме коли будуть уколи зі знеболюючим. Після операції нічого не боліло, не турбувало, сам доїхав до дому за кермом. Лікар підтримував весь час, та надавав всі необхідні поради. Десь тиждень, дружина обробляла шви. На сьогоднішній день взагалі не помітно де була операція. Через місяць здав сперматограму, і там все як я хотів. Хто ще вагається з вибором лікаря для вазектомії, рекомендую Аксьонова Павла Валерійовича, це дійсно фахівець в цій справі.
Star Star Star Star Star
Андрій 22.12.2025
Дуже вдячний Волошину Володимиру Вікторовичу за коректне та уважне ставлення! Лікар одразу викликає довіру. Обстеження пройшло комфортно, без поспіху. Після прийому зрозумів свою ситуацію і подальші кроки лікування. Рекомендую як досвідченого уролога.
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