How to Diagnose Seminal Vesicle Calculi

Most cases of seminal vesicle calculi are discovered incidentally during prostate examinations or routine health checkups. In other instances, they are identified after a man seeks medical attention due to abnormal semen appearance, such as blood or blood streaks, darker or coffee-colored semen. There are three primary diagnostic methods used to detect seminal vesicle stones:

1. Ultrasound Imaging

Ultrasound is often the first diagnostic tool used. It allows doctors to visualize calcifications or stones within the seminal vesicles. This non-invasive method provides a clear view of the internal structure and any abnormalities present.

2. Seminal Vesiculography

This procedure involves injecting a contrast dye into the seminal vesicles before taking imaging scans. It offers a more detailed view of the vesicles and can help identify stones that may not be visible through standard ultrasound.

3. Digital Examination Following Prostate Massage

A simple and effective method involves a digital rectal exam, often performed after prostate fluid collection. During this exam, the physician can feel for small, stone-like nodules in the seminal vesicle area, which may indicate calcification or the presence of stones.

Common Symptoms That Lead to Diagnosis

Men who experience symptoms such as discolored semen, blood in the semen, or fertility issues often undergo these diagnostic tests. Because these symptoms can point to various urological conditions, confirming the presence of seminal vesicle stones is a straightforward process once these tests are performed.