Patient's question:
Patient Age: 23, diagnosed with epididymitis for two months. Urinalysis showed no issues. Color Doppler ultrasound revealed uneven echo intensity in both epididymides, with 0.20.3 cm echo-free areas observed at the heads of both epididymides, clear boundaries, and intact capsules. No significant abnormalities were found in the testes.History of Treatment and Effects: Received two weeks of intravenous drip treatment and has been taking antibiotics ever since. Felt the treatment has been ineffective.
Desired Assistance: Any good suggestions or treatment methods?
Doctor's answer:
Because epididymitis is divided into acute and chronic forms, the treatment also has different focuses. For acute epididymitis, it is recommended that patients rest in bed and support the scrotum to reduce pain. In the early stage, an ice pack can be placed on the epididymis to prevent swelling. In the later stage, cold compress can be used to improve local blood circulation and speed up the resolution of inflammation. Due to the presence of infection, anti-infection treatment should be implemented. In clinical diagnosis, broad-spectrum antibiotics and antibiotics that are more effective against Gram-negative bacteria are commonly used. For systemic symptoms such as pain and fever, antipyretic and analgesic drugs should be used for symptomatic treatment. If the pain in the epididymis is severe, a specialist physician can administer 1% lidocaine 10-20 milliliters from the upper part of the testis to perform a local isolation of the spermatic cord, which can help improve blood circulation.