Patient's question:
Mild epididymitis test results, careful examination: Urinalysis normal, ketone bodies faint, no hematuria. Past treatment history and effectiveness: Previously took cefixime orally. How to assist: Can cefepime or cefpirome or cefazolin intravenous drip treat mild epididymitis?Doctor's answer:
Epididymitis is often caused by a retrograde infection from prostatitis or seminal vesiculitis along the vas deferens, leading to recurrent epididymitis. It is divided into acute epididymitis and chronic epididymitis. The scrotum often experiences pain, swelling, and a sensation of heaviness, with the pain potentially radiating to the lower abdomen and the opposite inner thigh.Medical Advice: The affected epididymis is swollen with mild tenderness, clearly demarcated from the testis, and the scrotal skin is edematous and red. It may also be accompanied by thickening of the spermatic cord and vas deferens, as well as hardened prostate with fibrous nodules and other chronic prostatitis symptoms. Bilateral chronic epididymitis can lead to infertility. It is recommended that you visit the department of reproductive infections at a hospital for follow-up to identify the cause and receive targeted treatment! For patients with epididymitis, timely treatment can help reduce the risk of recurrence.