Seminal vesicle surgery
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mapletop
- Beginner
- Posts: 49
- Joined: Tue Mar 03, 2009 9:25 pm
Seminal vesicle surgery
Can someone shed some light on this type of surgery. I seem to have an inflammatory response in the seminal vesicles and they are enlarged. Has anyone had any injections of steroids in their seminal vesicle(s). I am considering finding a surgeon to take a closer look at my seminal vesicle structure and contents.
Age:33 | Onset Age:on and off since 16 | Symptoms: Semen Leakage when having a bowel movement, perineum pain, urethritits symptoms, Itching urethra, NO Bacteria ever found. | Helped By:reading A Headache in the Pelvis. | Worsened By: sitting, worrying about my problem (Antibiotics don't help, no bacteria in prostatic secretions).
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Jay
- Retired Mod
- Posts: 745
- Joined: Wed Mar 05, 2008 4:28 pm
- Location: Florida
Re: Seminal vesicle surgery
Hi,
I do know that such an injection is done, but I'm not certain of the circumstances or protocol. The only reason I can confirm it is because, following a quick search, I managed to dig up a few studies. They seemed to imply a trans-perineal injection route, meaning the needle would go up through your perineum and into the vesicles.
Having said that, 'seminal vesicle surgery' is a bit vague. Are you referring to removal of the vesicles? If so, I'd really advise against it unless your doctor has pinned down a clear justification for doing so. We've had guys here who have had their prostates - and yes, their seminal vesicles - removed in hopes of solving the issue. Unfortunately, in the best scenarios, it seems that they were mostly unchanged following surgery.
I've read a whole lot in the course of moderating for this forum, and I've formed the opinion that surgery is generally not a good idea for CPPS. There are times when the need is obvious, but for the most part, it's simply people in pain who are tempted by the idea of a quick resolution. What's more worrisome is that there are surgeons out there who'll go on "removal sprees" at the patient's request.
I do know that such an injection is done, but I'm not certain of the circumstances or protocol. The only reason I can confirm it is because, following a quick search, I managed to dig up a few studies. They seemed to imply a trans-perineal injection route, meaning the needle would go up through your perineum and into the vesicles.
Having said that, 'seminal vesicle surgery' is a bit vague. Are you referring to removal of the vesicles? If so, I'd really advise against it unless your doctor has pinned down a clear justification for doing so. We've had guys here who have had their prostates - and yes, their seminal vesicles - removed in hopes of solving the issue. Unfortunately, in the best scenarios, it seems that they were mostly unchanged following surgery.
I've read a whole lot in the course of moderating for this forum, and I've formed the opinion that surgery is generally not a good idea for CPPS. There are times when the need is obvious, but for the most part, it's simply people in pain who are tempted by the idea of a quick resolution. What's more worrisome is that there are surgeons out there who'll go on "removal sprees" at the patient's request.
I am not a physician. This is not medical advice. Consult your doctor!
Age: 26 Onset Age: 17 Symptoms: Shooting, nerve-like pains throughout the penis, which abruptly hit and leave. Testicular pain, perineum pain, burning/irritative urination, extended pain after ejaculation. Occasionally, some allodynia or ache in the coccyx/sacrum/thigh/buttocks/legs. Diagnosis: Pelvic floor dysfunction, degenerated lumbar disk, and mildly herniated lumbar disk. Helped By: Physical therapy, pain management doctor, hot baths, therapy pool, stretching regimen, breathing exercises, relaxation, distraction. Worsened By: Arousal/ejaculation (worst), constipation, panicking/obsessing, other triggers depend upon current symptoms. Tests/Prior Treatments: Too many antibiotics to count, multiple urine tests (all normal), testicular ultrasound (normal), bladder and renal ultrasound (normal), lumbar and pelvic MRI with and w/o contrast (revealed disk problems), Elavil 25mg (caused retention), Flomax 0.4mg.
Age: 26 Onset Age: 17 Symptoms: Shooting, nerve-like pains throughout the penis, which abruptly hit and leave. Testicular pain, perineum pain, burning/irritative urination, extended pain after ejaculation. Occasionally, some allodynia or ache in the coccyx/sacrum/thigh/buttocks/legs. Diagnosis: Pelvic floor dysfunction, degenerated lumbar disk, and mildly herniated lumbar disk. Helped By: Physical therapy, pain management doctor, hot baths, therapy pool, stretching regimen, breathing exercises, relaxation, distraction. Worsened By: Arousal/ejaculation (worst), constipation, panicking/obsessing, other triggers depend upon current symptoms. Tests/Prior Treatments: Too many antibiotics to count, multiple urine tests (all normal), testicular ultrasound (normal), bladder and renal ultrasound (normal), lumbar and pelvic MRI with and w/o contrast (revealed disk problems), Elavil 25mg (caused retention), Flomax 0.4mg.
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mapletop
- Beginner
- Posts: 49
- Joined: Tue Mar 03, 2009 9:25 pm
Re: Seminal vesicle surgery
I had read in some outdated books about opening and draining enlarged seminal vesicles. Whereas the thick walls and structure change, caused the storage sacs to enclose on themselves. I had a TRUS and the doc said that they were enlarged and inflamed. Ibuprofen was what he prescribed. My liver enzymes are elevated so i am going to stop taking the ibuprofen even though it helped for 4 months. My doc don't seem that interested at studying the seminal vesicles more.
1.Are there any better tests to further evaluate the structure of the vesicles.
2. What about Seminal vesicle aspiration. It sounds painfull.
1.Are there any better tests to further evaluate the structure of the vesicles.
2. What about Seminal vesicle aspiration. It sounds painfull.
Age:33 | Onset Age:on and off since 16 | Symptoms: Semen Leakage when having a bowel movement, perineum pain, urethritits symptoms, Itching urethra, NO Bacteria ever found. | Helped By:reading A Headache in the Pelvis. | Worsened By: sitting, worrying about my problem (Antibiotics don't help, no bacteria in prostatic secretions).
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Jay
- Retired Mod
- Posts: 745
- Joined: Wed Mar 05, 2008 4:28 pm
- Location: Florida
Re: Seminal vesicle surgery
Hi,
I should begin by emphasizing that I am not a doctor, much less a surgeon. Anything I say is opinion and/or stuff cited from trusted websites.
1. As far as I know, TRUS is the best imaging for the vesicles short of taking them out and looking at them. Could be wrong. I've had a pelvic MRI (with/without contrast) and am fairly certain that they weren't noticeable on it.
2. Seminal vesicle aspiration seems to be done mostly for issues of ejaculatory duct obstruction, or fertility testing. Couldn't find anything on using the procedure to relieve inflammation. As it happens, the reading I did indicated that TRUS was commonly used to guide the needle.
3. I wouldn't take medical advice from "outdated" books.
Inflammation of the pelvic structures is common with CPPS. I've also had some of your symptoms, such as the leaking of prostatic fluid following bowel movements (as have others). In your shoes, I wouldn't be in a hurry to do any cutting or needle prodding down there without some concrete reasoning.
I should begin by emphasizing that I am not a doctor, much less a surgeon. Anything I say is opinion and/or stuff cited from trusted websites.
1. As far as I know, TRUS is the best imaging for the vesicles short of taking them out and looking at them. Could be wrong. I've had a pelvic MRI (with/without contrast) and am fairly certain that they weren't noticeable on it.
2. Seminal vesicle aspiration seems to be done mostly for issues of ejaculatory duct obstruction, or fertility testing. Couldn't find anything on using the procedure to relieve inflammation. As it happens, the reading I did indicated that TRUS was commonly used to guide the needle.
3. I wouldn't take medical advice from "outdated" books.
Inflammation of the pelvic structures is common with CPPS. I've also had some of your symptoms, such as the leaking of prostatic fluid following bowel movements (as have others). In your shoes, I wouldn't be in a hurry to do any cutting or needle prodding down there without some concrete reasoning.
I am not a physician. This is not medical advice. Consult your doctor!
Age: 26 Onset Age: 17 Symptoms: Shooting, nerve-like pains throughout the penis, which abruptly hit and leave. Testicular pain, perineum pain, burning/irritative urination, extended pain after ejaculation. Occasionally, some allodynia or ache in the coccyx/sacrum/thigh/buttocks/legs. Diagnosis: Pelvic floor dysfunction, degenerated lumbar disk, and mildly herniated lumbar disk. Helped By: Physical therapy, pain management doctor, hot baths, therapy pool, stretching regimen, breathing exercises, relaxation, distraction. Worsened By: Arousal/ejaculation (worst), constipation, panicking/obsessing, other triggers depend upon current symptoms. Tests/Prior Treatments: Too many antibiotics to count, multiple urine tests (all normal), testicular ultrasound (normal), bladder and renal ultrasound (normal), lumbar and pelvic MRI with and w/o contrast (revealed disk problems), Elavil 25mg (caused retention), Flomax 0.4mg.
Age: 26 Onset Age: 17 Symptoms: Shooting, nerve-like pains throughout the penis, which abruptly hit and leave. Testicular pain, perineum pain, burning/irritative urination, extended pain after ejaculation. Occasionally, some allodynia or ache in the coccyx/sacrum/thigh/buttocks/legs. Diagnosis: Pelvic floor dysfunction, degenerated lumbar disk, and mildly herniated lumbar disk. Helped By: Physical therapy, pain management doctor, hot baths, therapy pool, stretching regimen, breathing exercises, relaxation, distraction. Worsened By: Arousal/ejaculation (worst), constipation, panicking/obsessing, other triggers depend upon current symptoms. Tests/Prior Treatments: Too many antibiotics to count, multiple urine tests (all normal), testicular ultrasound (normal), bladder and renal ultrasound (normal), lumbar and pelvic MRI with and w/o contrast (revealed disk problems), Elavil 25mg (caused retention), Flomax 0.4mg.
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mapletop
- Beginner
- Posts: 49
- Joined: Tue Mar 03, 2009 9:25 pm
Re: Seminal vesicle surgery
Yeah your right Jay. I just visited with the uro today and he is trying to get me set up with an appointment with a physical therapist for CPPS. Have you had any experience with physical therapy. I read a post that someone commented on reading a book called headache in the pelvis, I think I will get a copy.
Age:33 | Onset Age:on and off since 16 | Symptoms: Semen Leakage when having a bowel movement, perineum pain, urethritits symptoms, Itching urethra, NO Bacteria ever found. | Helped By:reading A Headache in the Pelvis. | Worsened By: sitting, worrying about my problem (Antibiotics don't help, no bacteria in prostatic secretions).
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Jay
- Retired Mod
- Posts: 745
- Joined: Wed Mar 05, 2008 4:28 pm
- Location: Florida
Re: Seminal vesicle surgery
Hi there,
Yes, I have had physical therapy which largely followed the methods in A Headache In The Pelvis. This included internal and external treatment. Though I had to stop for a few reasons (primarily financial), I've continued to self-treat in the interim and plan to return to formal PT in the near future.
I've found the treatment to be both helpful and, in the case of interacting with a qualified PT, informative. I'm not sure of where you live, but you'll want to be certain that your PT is familiar with the pelvic floor. We may be able to provide suggestions for therapists if you tell us where you are, or you could check out the list in the Clinics section of the forum.
Yes, I have had physical therapy which largely followed the methods in A Headache In The Pelvis. This included internal and external treatment. Though I had to stop for a few reasons (primarily financial), I've continued to self-treat in the interim and plan to return to formal PT in the near future.
I've found the treatment to be both helpful and, in the case of interacting with a qualified PT, informative. I'm not sure of where you live, but you'll want to be certain that your PT is familiar with the pelvic floor. We may be able to provide suggestions for therapists if you tell us where you are, or you could check out the list in the Clinics section of the forum.
I am not a physician. This is not medical advice. Consult your doctor!
Age: 26 Onset Age: 17 Symptoms: Shooting, nerve-like pains throughout the penis, which abruptly hit and leave. Testicular pain, perineum pain, burning/irritative urination, extended pain after ejaculation. Occasionally, some allodynia or ache in the coccyx/sacrum/thigh/buttocks/legs. Diagnosis: Pelvic floor dysfunction, degenerated lumbar disk, and mildly herniated lumbar disk. Helped By: Physical therapy, pain management doctor, hot baths, therapy pool, stretching regimen, breathing exercises, relaxation, distraction. Worsened By: Arousal/ejaculation (worst), constipation, panicking/obsessing, other triggers depend upon current symptoms. Tests/Prior Treatments: Too many antibiotics to count, multiple urine tests (all normal), testicular ultrasound (normal), bladder and renal ultrasound (normal), lumbar and pelvic MRI with and w/o contrast (revealed disk problems), Elavil 25mg (caused retention), Flomax 0.4mg.
Age: 26 Onset Age: 17 Symptoms: Shooting, nerve-like pains throughout the penis, which abruptly hit and leave. Testicular pain, perineum pain, burning/irritative urination, extended pain after ejaculation. Occasionally, some allodynia or ache in the coccyx/sacrum/thigh/buttocks/legs. Diagnosis: Pelvic floor dysfunction, degenerated lumbar disk, and mildly herniated lumbar disk. Helped By: Physical therapy, pain management doctor, hot baths, therapy pool, stretching regimen, breathing exercises, relaxation, distraction. Worsened By: Arousal/ejaculation (worst), constipation, panicking/obsessing, other triggers depend upon current symptoms. Tests/Prior Treatments: Too many antibiotics to count, multiple urine tests (all normal), testicular ultrasound (normal), bladder and renal ultrasound (normal), lumbar and pelvic MRI with and w/o contrast (revealed disk problems), Elavil 25mg (caused retention), Flomax 0.4mg.