How is seminal vesiculitis diagnosed?

Seminal vesiculitis is inflammation and/or infection of one or both vesicular glands. Signs may include purulent material contaminating bull semen. Diagnosis often occurs during a breeding soundness examination through manual rectal palpation or visible observation with rectal ultrasound of enlarged seminal vesicles.

What are the symptoms of seminal vesiculitis?

The symptoms of vesiculitis are similar to those in cases of prostate infection; they may include a dull aching pain in the abdomen, discomfort in the urethra, pain after sexual intercourse, the presence of blood in the seminal fluid, premature or painful ejaculation, and impotence.

What causes inflammation of the seminal vesicles?

Malformation of the distal mesonephric duct leads to atresia of ejaculatory duct, which eventually results in cystic enlargement of seminal vesicles. However, chronic infection of a seminal vesicle cyst is thought to be caused by inflammatory obstruction within the seminal vesicles (4).

What’s seminal vesiculitis?

Seminal vesiculitis is an uncommon entity characterized by inflammation of the seminal vesicles. It is most commonly infective in etiology and often associated with concurrent infection elsewhere in the male genital tract, forming part of the spectrum of male accessory gland inflammation 4.

How is Trus used to diagnose seminal vesicles?

TRUS is an extension of DRE when clinical symptoms are suggestive of seminal vesicle diseases. Computed tomography (CT) produces a three-dimensional image of internal body structure, constructed using by a series of plane cross-sectional images. Contrast-enhanced CT, shows SVs as fluid-filled structures, with a thin septa.

Can a CT scan detect seminal vesicle enlagement?

The significance of CT-scan-detected seminal vesicle enlagement was investigated by correlating preoperative CT scans and pathologic findings for 25 patients undergoing radical prostatectomy.

Are there any lesions on the seminal vesicles?

This article aims to review the imaging characteristics of common and uncommon, but significant lesions involving the seminal vesicles (SVs), as seen predominantly on MRI. Many of these findings are incidental during imaging of the prostate or pelvis on CT.

Which is more accurate MRI or CT for seminal vesicles?

MRI is a valuable tool in evaluating the seminal vesicles owing to its multiplanar imaging capabilities and superb soft tissue contrast resolution ( Figure 74-3 ). It clearly demonstrates cystic lesions and is more accurate for staging of solid neoplasms than CT or ultrasound.