What are the treatments for epididymitis?

Epididymitis is generally divided into acute and chronic. The main symptoms of the disease include abdominal pain, testicular pain, epididymal stones, scrotal swelling, etc. The occurrence of this disease has great harm to men, such as premature aging, infertility and so on. At present, medical technology is developing rapidly, and there are many methods for treating epididymitis on the market. Next, let’s take a look at the specific methods for treating epididymitis.

1. General treatment. During the acute phase (3 to 4 days), you should rest in bed. Using a scrotal support can relieve symptoms. A larger homemade scrotal support with a cotton pad will be more comfortable to use. For those with severe pain, painkillers can be used, and local heat therapy can relieve symptoms and promote the disappearance of inflammation. However, using heat therapy too early may aggravate pain and risk promoting the spread of infection, so it is advisable to use ice packs for local cold compresses in the early stages. Sexual intercourse and physical labor can aggravate the infection and should be avoided.

2. Special treatment. If the patient sees a doctor within 24 hours of onset, infiltration anesthesia of the spermatic cord above the testicle with 20 ml of 1% procaine or lidocaine local anesthetic may completely relieve the disease. The body temperature usually drops rapidly, the pain may disappear completely, and the inflammatory mass can be absorbed within a few days. Otherwise, it usually takes 2 to 3 weeks to be absorbed. If one injection cannot fully achieve the desired effect, another injection can be given the next day.

Antibiotics can help, and secondary cystitis will heal quickly. The choice of antibiotics should be determined based on bacterial culture and drug sensitivity testing. Commonly used drugs include co-trimoxazole, norfloxacin, ofloxacin and other second- and third-generation quinolones and cephalosporins, all of which have good therapeutic effects.

3. Medical treatment. The cause of acute epididymitis is bacterial rather than urinary reflux. Therefore, drug treatment should be used. The causative bacteria of acute epididymitis are often intestinal bacteria or Pseudomonas aeruginosa, and are more common in middle-aged and elderly men.

The choice of antimicrobial drugs should be determined based on bacterial culture and antimicrobial sensitivity testing. If you are sensitive to trimethoprim (cotrimoxazole), you should take it orally twice a day for 4 weeks, especially if you have bacterial prostatitis. If local redness and swelling are obvious, the leukocytosis in the blood increases, and the body temperature rises, antibiotics should be given intravenously until the body temperature returns to normal, and then oral antibiotics can be taken. The urogenital tract of these patients should be examined.

4. Surgical treatment. Acute epididymitis is often complicated by acute infection of the reproductive tract and blood type infection. Therefore, acute epididymitis often turns into chronic epididymitis after drug treatment, and is often accompanied by chronic prostatitis or seminal vesiculitis, urethritis and vas deferens. The spermatic cord may also be affected, resulting in acute or chronic spermatic corditis. Regarding the treatment of acute epididymitis, drugs are generally used, and antibiotics are routinely used, both orally and intravenously, but the treatment effect is often poor. The acute inflammation turns into a chronic process, leaving behind chronic inflammatory nodules in the epididymis that present symptoms and cause great pain to the patient.

After reading the article "What are the methods for treating epididymitis", I believe you will have the answer in your mind. Remember, if you suffer from epididymitis, first don't panic, analyze the cause of your epididymitis, and then treat it according to the situation. Finally, patients with epididymitis are reminded not to take medication blindly to avoid aggravating the condition.