What are the treatment options for acute epididymitis?

Acute epididymitis is the most common infectious disease in the scrotum. Most patients are mainly infected by pathogens. If not treated in time, the epididymis may be seriously damaged and may cause chronic epididymitis. Patients with urinary tract infection and prostate infection must pay attention to the prevention of epididymitis. The following are some common methods for treating acute epididymitis.

1. Internal medicine treatment

Since the cause of epididymitis is bacterial rather than urine reflux, it should be treated with drugs. The pathogens of acute epididymitis are often caused by intestinal bacteria or Pseudomonas aeruginosa, which is more common in middle-aged and elderly men. The choice of antibacterial drugs should be determined according to bacterial culture and antibacterial drug sensitivity tests. If local redness and swelling are obvious, blood leukocytosis, and body temperature rises, antibiotics should be dripped intravenously until the body temperature returns to normal, and then oral antibiotics should be taken. The urogenital tract of these patients should be examined.

Other general supportive treatments: During acute epididymitis, patients should rest in bed. Using an artificial scrotum support can relieve pain. If epididymal pain is severe, 20 ml of 1% lidocaine can be injected locally into the spermatic cord at the upper end of the testicle to relieve discomfort. Oral analgesics and antipyretics can also be used. In the early stage, ice packs can be placed on the epididymis to prevent swelling. In the late stage, hot compresses can be used to accelerate the disappearance of inflammation and relieve patient discomfort. Sometimes indomethacin (indomethacin) can also relieve symptoms.

2. Surgical treatment

Most cases of acute epididymitis disappear on their own after drug treatment, but 3% to 9% of cases develop abscesses within one month of the acute phase. Some people advocate surgical exploration for uncontrollable acute epididymal orchitis. If the testicles are not involved, epididymis removal may be sufficient.

Men must pay attention to genital hygiene and avoid frequent sexual intercourse, otherwise they are prone to epididymitis. Patients with acute epididymitis should eat lighter food and ensure a balanced diet. Do not eat spicy food, such as seafood, chicken, etc., to prevent the condition from getting worse. Eat more fresh fruits to improve your immunity.