Patient's question:
Got epididymitis, the medicine worked, but it always comes back and forth. It's just a little uncomfortable. The hospital did a color ultrasound and found no obvious abnormalities in the testicles, epididymis, or spermatic cord. I know what to do now. How should male epididymitis be treated?Doctor's answer:
(1) General bed rest is recommended. Using a scrotal support or a specially designed soft pad can alleviate symptoms. For severe pain, pain medication may be used. Local heat therapy can relieve symptoms and promote inflammation resolution. However, early use of heat therapy may worsen pain and increase the risk of spreading infection. Early use of ice packs for local cold compressions is advisable. Daily activities and physical labor can exacerbate infection and should be avoided.(2) Antibiotics should be chosen based on bacterial sensitivity. Intravenous administration is typically used for 1–2 weeks, followed by oral antibiotics for 2–4 weeks to prevent the development of chronic inflammation.
(3) If antibiotic treatment is ineffective and testicular edema is suspected, orchidectomy with epididymal drainage may be performed. Multiple incisions can be made along the longitudinal or transverse direction of the tunica vaginalis, ensuring not to damage the epididymal ducts.