Can I use cold compresses on chronic epididymal inflammation?

Chronic inflammation of the epididymis is also relatively common in life. There are many causes of this inflammation. Sometimes it is caused by inflammation of nearby tissues and organs, which are threatened. For example, seminal vesiculitis and prostatitis may cause inflammation of the epididymis, which has a greater impact on men's health. This is also an important cause of male infertility, so it is necessary to carry out good treatment in time. When swelling and fever occur, hot compresses can be used to relieve them.

Epididymitis is divided into chronic epididymitis, acute epididymitis, and tuberculous epididymitis. And the pathogens that cause epididymitis are also diverse, including E. coli, Staphylococcus, Streptococcus and other pathogens. So in order to cure epididymitis, we must first find out what type of epididymitis the patient has. Only with an accurate diagnosis can we prescribe the right medicine and cure the disease in the shortest time. Standardized treatment procedures and personalized treatment plans that are most suitable for patients are the prerequisites for completely curing epididymitis. Therefore, diagnosis and examination are very important.

(1) General processing

Resting in bed and using a scrotal support or a homemade cushion to lift the scrotum can relieve symptoms. Painkillers can be used for severe pain, and local heat therapy can relieve symptoms and promote the disappearance of inflammation. However, using heat therapy too early can aggravate pain and has the risk of promoting the spread of infection. Therefore, it is advisable to use ice packs for local cold compresses in the early stage. Sexual intercourse and physical labor can aggravate the infection and should be avoided.

(2) Antimicrobial drugs should be selected to be sensitive to bacteria. Usually, they are given intravenously for 1 to 2 weeks, followed by oral administration for 2 to 4 weeks to prevent the disease from turning into chronic inflammation.

(3) If antibiotic treatment is ineffective and testicular ischemia is suspected, epididymotomy should be performed to relieve pressure. Multiple longitudinal or transverse incisions should be made in the epididymal tunica vaginalis, but injury to the epididymal duct should be avoided.

Chronic epididymitis may not be cured by medication alone. In addition to the use of effective broad-spectrum antibiotics, physical therapy such as local hot compresses is also necessary. Local application of berberine or neomycin plasma ionization therapy can also be used. If there is chronic prostatitis, it must be treated at the same time. For recurrent epididymitis caused by chronic prostatitis, vasectomy can be considered before treatment. For those who have repeated episodes, epididymectomy can also be considered.