UCPPS - Prostatitis, Interstitial Cystitis Forum

Hello guys,

I did a testicular ultrasound today (testicles, prostate, bladder). The doctor had this diagnose: Chronic Vesiculitis Ultrasounds highlighted enlargement of seminal vesicles up to 21.8mm. With this diagnose, he advised me to go to a specific urologist.

Regarding this I googled today that: "In chronic vesiculitis the transrectal ultrasounds highlight enlargement of seminal vesicles (> 14 mm of thickness) " "Seminal vesiculitis is difficult to diagnose because it is uncommon and findings are usually nonspecific. Treatment is also a challenge; aspiration and systemic and local antibiotics usually provide only temporary relief of symptoms."

Has anyone had this condition and how did you deal with it or how did the treatment proceed? If its chronic, is it probably that I already have some kind of prostatitis too? Also I forgot to ask the doctor out of curiosity; how did the infection traveled to the seminal vesicles, without the prostate being really infected in the first place?

Last thing the doctor doesn't mentioned anything regarding the prostate; just wrote normal there. The dimensions I can read there are 37.2 48.9 25.7 mm. If I am not wrong V= l*w*h*pi/6 ; and that would be around 24.3cc or around 24g I think. Is this normal for a guy of my age, 27. I read that it should be no more then 20g if everything is normal :sad:

I wrote this here because my worst symptoms now are Urgency & Frequency, weak stream and incomplete voiding; accompanied by sharp pain in bladder area if I don't try to empty at least some part of it immediately. Then the circle repeats itself right after.

Usually TRUS (transrectal ultrasound) is used to diagnose seminal vesiculitis. Is that what you had? The diagnosis of seminal vesicle disease is difficult, and MRI has been suggested as a better modality. Rather than just the one measurement you cite, doctors normally look for asymmetry, dilatation, elongation, internal septation, calculi and thickening of the walls of the vesicles. Did you get any of those parameters measured?

Dr Scott Zeitlin has said that "short of a selected invasive procedure, [seminal vesiculitis] is in fact a very difficult diagnosis to make or disprove." (From J C Nickel's Textbook of Prostatitis)

Beware that CP/CPPS is frequently misdiagnosed as other conditions by urologists and other medical health professionals.

No, I had a pelvic ultrasound. Basically (putting it in my poor words) doctor told me regarding the image that the seminal vesicules should not appear clearly in ultrasound because they are of the same structure of the surrounding area, while in my case they were clearly defined which means that they are inflamed (as I said don't take my translation word by word)

I dont know if in this case a culture of semen or something like this is necessary, but I hope to see the urologist today

What do you think regarding the prostate dimensions?

Dimensions unremarkable. Report back with uro comments, but from the look of it you are not getting the best medical care.

Been told to do a spermogram, urine for ph and TRUS to another doctor.
Also to check for urine time and quantity during each trip to the bathroom for a day.

The uro sent me to another doctor. According to him I have Chronic Non-bacterial Prostatitis. According to more analyze I did and previous ones, he sees signs of inflammation without infection. I was prescribed Spermotrend(1.5 months) and "Prosta Urgenin Uno" (at least 3 months).

Generally the latest extensive blood and urine tests 'bad' results were,
total cholesterol of 273,
blood MCH, MCHC below norms,
only blood Monocytes above norms,
urine gravity 1010 out of my 3 Liter in 24h,
chloride and sodium levels above norms
high uric acid

Is Prosta Urgenin Uno just saw palmeto? that would suck, no?

Spermotrend is basically vitamins and minerals, supposedly to enhance fertility, which is not your problem anyhow. "Prosta Urgenin Uno" is serenoa repens, commonly known as saw palmetto, and is for BPH, not chronic prostatitis.

As I said above, you are not getting good treatment and in your shoes, I would discontinue seeing urologists at this stage.

Please read this forum for hints on how to proceed.

Yes, I think any accredited quercetin product might be a good alternative, apart from the other things

btw I have some supplements collected over time which includes
Vitamin C, D3
Carlson Omega-3
Cranberry tablets and juice
Cystoprotek
Amermed Prostate Support
Probiotics Complex

Are they of any good in this condition?

Don't use cranberry, it can irritate.

I will definitely get the "A Headache in the Pelvis" book.

In fact I bought it today from your Amazon signature link. It was actually cheaper there.

Got the book today from the post. It took longer to get from amazon, but anyway, I might begin reading something this week.
Will test any accredited quercetin product also later on
regards