Patient's question:
Testicular swelling and severe pain, which can be relieved when lying down but worsen with more walking. How should I treat epididymitis effectively?Doctor's answer:
Epididymitis scars can leave behind epididymal hard nodules, which sometimes cause psychological burden to patients. After surgical removal, symptoms may not always be relieved, so orchectomy is generally not performed. For male infertility caused by bilateral epididymitis where sperm transport is obstructed, anastomosis of the vas deferens to the proximal epididymal obstruction site can partially resolve the sperm drainage issue, but the postoperative pregnancy rate remains low. Pay attention to regularizing your lifestyle, balancing work and rest, avoiding smoking, alcohol, and spicy or irritating foods. Maintain regular bowel movements. Avoid prolonged sitting. Sexual activity should not be too frequent. If chronic epididymitis recurs frequently, consider epididymectomy.