Can epididymitis be cured?

Patient's question:

My testicles have been slightly swollen and aching for a while, especially when touched, it hurts very badly. It seems that the other side is also slightly swollen. I am very worried. Please ask:

Doctor's answer:

Hello, is it a testicular mass or an epididymal one? Most solid masses with pain are due to inflammation. A painful mass outside the testicle may be epididymitis.
1. Antibacterial and anti-inflammatory treatment;
2. Rest in bed, elevate the scrotum, apply local cold compresses, and physical therapy; 1% lidocaine spermatic cord block anesthesia can reduce pain;
3. If an abscess forms, it should be incised and drained; early use of sufficient, broad-spectrum antibiotics (e.g., azithromycin) is appropriate for orchitis. Epididymitis tends to recur, requiring long-term medication.
For male patients, it is essential to seek professional and reputable medical attention immediately. Treatment should be considered based on test results. Additionally, maintain a proper diet, avoid sexual activity, and wish all patients a speedy recovery.

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