Is epididymitis incurable throughout life?

Epididymitis is a common male disease. Many people think that epididymitis cannot be cured. In fact, it is not the case. After suffering from epididymitis, if the patient can go to the hospital for diagnosis in time, and then choose the appropriate method for treatment under the guidance of the doctor. So, how can we treat orchitis symptomatically? Below, we will introduce the treatment methods of epididymitis in detail.

1. Treatment of acute epididymitis

(1) General treatment: Resting in bed and using a scrotal support or a homemade cushion to lift the scrotum can alleviate 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) Antibacterial drugs should be selected to treat bacteria that are sensitive to them. Usually, they are given intravenously for 1 to 2 weeks, followed by oral administration for 2 to 4 weeks to prevent the condition 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.

2. Treatment of chronic epididymitis

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.

3. Chinese medicine treatment

1. Dabuyin Pills

15g each of Phellodendron chinense and Rehmannia glutinosa, 12g each of Anemarrhena asphodeloides and Turtle Plate, 1 spoon of pig spinal cord (steamed and taken), 30g of Yinhua, 20g of Litchi kernel. Decoction in water, 1 dose per day, 10 days as a course of treatment. Functions: nourishing yin and clearing heat, activating blood circulation and removing blood stasis, regulating qi and relieving pain. According to reports, this prescription has been used to treat 10 cases of acute epididymitis, 7 cases of chronic epididymitis, and 1 case of hydrocele caused by chronic epididymitis, all of which have achieved satisfactory results.

2. Flavored Tangerine Soup

10g each of Bupleurum, Red Peony Root, Toosendan Fruit, and Gallbladder Grass, 12g each of Litchi Seed, Guangju Seed, and Zexie, 20g of Artemisia Capillaris, 15g each of Gentiana Macrophylla and Plantago Seed, and 6g of Raw Licorice. Take 1 dose daily, decoct twice, and take the juice in 2 doses. 10 days is a course of treatment. This prescription soothes the liver and regulates qi, eliminates dampness and clears heat. It is mainly used to treat epididymitis. According to clinical reports, 16 patients with epididymitis were treated with this prescription with additions and subtractions, and 9 were cured and 7 were effective, all of which were effective in 1 to 2 courses.