The diagnosis of seminal vesiculitis can be challenging often because it is not considered.
Clinical findings:
(1) male infertility
(2) chronic groin pain
(3) painful ejaculation
(4) concurrent evidence of prostatitis and/or epididymitis
Imaging findings on pelvic CT, MRI or transrectal ultrasonography (TRUS):
(1) enlargement
(2) cystic change
Transurethral seminal vesiculoscopy can be used to obtain direct specimens and to irrigate the vesicles.
Laboratory findings:
(1) reduced semen volume and oligospermia
(2) infectious pathogen, especially Chlamydia
