Does Epididymitis Really Need Treatment?

Patient's question:

Previously, I experienced pain and burning sensation during urination. The pain also affected penile erection. Later, I developed pain during penile erection and also during masturbation with ejaculation. I initially thought it was urethritis, but the test revealed it to be seminal vesiculitis. Please ask: Is seminal vesiculitis really necessary to be treated?

Doctor's answer:

Regarding the issue of how to treat seminal vesiculitis, it is necessary to have an understanding. Here is an explanation for the question of how to treat seminal vesiculitis:
1. Appropriate antibiotic treatment for seminal vesiculitis
Acute seminal vesiculitis should be treated until symptoms completely disappear, followed by additional medication for 1–2 weeks to consolidate the effect. Chronic seminal vesiculitis requires medication for more than 4 weeks to ensure lasting efficacy.
2. Local treatment for seminal vesiculitis
Gentian extract iontophoresis: After defecation, use 20 mL of 1‰ gentian extract for enema. Soak a gauze pad with this medication and place it in the perineal area, connecting it to the positive electrode of a direct current therapeutic device. The negative electrode should be applied to the pubic bone.
Warm water and perineal cold compresses can help stabilize local blood circulation and aid in reducing inflammation. Avoid prolonged sitting to prevent pelvic congestion.

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