How to treat epididymitis quickly and safely?

Patient's question:

I am an office white-collar worker. Throughout the day, I sit at my desk and am very busy, so I rarely get up to move around. Because of this, I was recently diagnosed with epididymitis. Now, I suffer daily and don't know what to do. Please ask: How can epididymitis be treated quickly and safely?

Doctor's answer:

Hello, is it a testicular mass or an epididymal one? Most solid masses with pain are due to inflammation, while painful masses outside the testicle may be epididymitis.
1. Antibacterial and anti-inflammatory treatment;
2. Rest in bed, elevate the scrotum, apply local cold compresses, and physiotherapy; 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 recommended.
Testicular can often heal on its own, while epididymitis can be stabilized, but the treatment duration is usually long, and recurrence is common after recovery. Therefore, it is essential to actively cooperate with the doctor’s medication plan during treatment. Additionally, patients should avoid prolonged sitting or riding and pay attention to personal hygiene. We hope male patients can recover quickly!

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