osteoarthritis vs rheumatoid arthritis diagnosis Symptoms of seminal vesiculitis range from vague back or lower abdominal pain; penile, scrotal, or perineal pain; irritative and obstructive voiding symptoms or impotence. In addition to the above mentioned symptoms, in addition, it could cause painful ejaculation, hypoactive sexual interest disorder, spermatorrhea, decrease of sperm, and prospermia.