Patient's question:
Patient is male, 30 years old, no sexual experience, married, has had sexual intercourse, sometimes quite frequently, sometimes not for a few months. Sometimes when urinating, there is a split at the beginning or end of urination. Sometimes when defecating, white secretions can be seen dripping from the urethral opening, but it is not common, I have seen it many times. The first recurrence was on August 30, 2010. First seen at a community hospital, the doctor was female and did not perform a health check. After hearing that the right testicle was painful and swollen, she said it was right testicular inflammation. Received injections for two days, forgot what medicine it was, felt no effect and immediately went to the big sex hospital for a check-up. After the doctor's health check, it was said to be right epididymitis, not testicular inflammation. Received six days of furin sodium and piperacillin/tazobactam, re-examination said it was okay. But sometimes felt a little uncomfortable in the right groin and went to the big sex hospital for a thorough check-up, still said it was okay. Then didn'tDoctor's answer:
General treatment measures are the same as those for chronic prostatitis. Treating prostatitis can also alleviate symptoms of chronic epididymitis. After epididymitis scars form, epididymal hard nodules may remain. Sometimes, this can cause psychological burden for patients. Surgical removal does not always alleviate symptoms. Therefore, orchiectomy is generally not performed. For male infertility caused by obstructed sperm transport due to bilateral epididymitis, anastomosis is performed between the epididymis and the proximal part of the vas deferens at the site of obstruction. However, the general treatment process is slow, and symptoms are prone to recur after treatment. Therefore, active cooperation with the doctor's medication plan is essential during treatment.