Patient's question:
Recently, I've been feeling constant pain in my testicles, and this week alone, I've had a fever twice. I usually feel cold, and when I take a shower, I notice that my testicles seem to contain a lot of liquid. Please ask: How is it best to treat epididymitis?Doctor's answer:
(1) General treatment for bed rest involves using a scrotal supporter or a specially designed soft pad to hold the scrotum, which can alleviate symptoms. For severe pain, pain relievers can be used. Local heat therapy can relieve symptoms and promote inflammation reduction. However, early use of heat therapy may relieve pain but also risks spreading the infection. Therefore, early use is recommended with ice packs for local cold compresses. Sexual activity and physical labor can exacerbate the infection, so they should be avoided.(2) Antibiotics should be chosen based on the sensitivity of the bacteria. Typically, intravenous medication is administered for 1–2 weeks, followed by oral antibiotics for 2–4 weeks to prevent the condition from becoming chronic inflammation.
(3) If antibiotic treatment is ineffective and testicular edema is suspected, orchidectomy with epididymal drainage should be performed. The epididymal tunica vaginalis can be incised longitudinally or transversely in multiple places, but care must be taken to avoid damaging the epididymal ducts.
2. Treatment of chronic epididymitis.。