Acute epididymitis

Acute epididymitis is mainly a common non-specific infection of the testicles. It is one of the most common infectious diseases, mainly urethritis, prostatitis and seminal vesiculitis. The reason is that the retrograde fallopian tube is known to be a common infection now. At the same time, its pathogenic bacteria are mainly staphylococci, the most common. Some male diseases in young and middle-aged people are also mainly caused by poor hygiene and some late operations.

So in daily life, epididymitis mainly causes some localized pain, general discomfort and fever during winter vacation, and local redness and swelling. It is not obviously an increase in blood cells and body temperature. In life, it can mainly be used for internal medicine treatment and some surgical treatments.

1. Medical treatment Since the cause of epididymitis is bacterial rather than urine reflux, drug treatment should be used. 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 you are sensitive to trimethoprim (cotrimoxazole), you should take it orally twice a day for 4 weeks, especially for those with bacterial prostatitis. If the local redness and swelling are obvious, the blood leukocytosis increases, and the 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: You should rest in bed during acute epididymitis. Using an artificial scrotum support can relieve pain. If the epididymal pain is severe, 20 ml of 1% lidocaine can be injected locally through 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. Avoid sexual intercourse and physical activities during the acute period, both of which can aggravate the symptoms of infection. In the acute stage, mix the Chinese medicine Ruyi Jinhuang Powder with sesame oil (vinegar can also be used, which is very irritating to the skin), apply it on the scrotum, and cover it with gauze. It has a good anti-inflammatory and analgesic effect. If hot compresses are applied at the same time, the effect will be better.

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. In a group of 610 patients with acute epididymitis, 19 underwent epididymo-orchiectomy due to purulent epididymo-orchiitis. A small number of cases of acute epididymitis (1%) developed into testicular infarction and underwent orchiectomy. Some people advocate surgical exploration of uncontrollable acute epididymo-orchiitis. If the testicles are not involved, epididymo-orchiectomy may be the only option.

The above is the introduction and treatment methods of acute epididymitis. In life, it is mainly used for internal medicine treatment and some surgical treatment. The key to diet and health care is preventive care. It should be thoroughly treated and prevented before urinary tract infection. The main health care is to eat more light and vitamin-rich foods.