Patient's question:
Detailed medical condition and purpose of consultation: As mentioned aboveDuration and persistence of the current illness: About 15 days
Current general condition: Not much
Medical history: Yes
Previous diagnoses and treatment history and effectiveness: It is said that after taking5 for orchitis, the pain stopped.
Auxiliary examinations: None
Other: Also none
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, elevate the scrotum, and reduce pain. In the early stages, an ice pack can be placed on the epididymis to prevent swelling. In later stages, heat application can be used to promote local blood circulation and accelerate the resolution of inflammation. Since it is an infection, anti-infection treatment should be administered, and broad-spectrum antibiotics, particularly those effective against Gram-negative bacteria, are commonly used in clinical practice. For systemic symptoms such as pain and fever, symptomatic treatment with antipyretic and analgesic drugs should be applied. If the pain in the epididymis is severe, a specialist physician may administer 1% lidocaine 10–20 mL via inguinal canal block from the upper testicular region to achieve pain relief and alleviate the heavy sensation. If the inflammatory mass of the epididymis enlarges, the scrotal skin becomes red and swollen with fluctuation, and an abscess forms, drainage surgery must be performed. If the catheter placement leads to this condition, the catheter should be removed. Additionally, during the acute phase, sexual arousal and heavy physical activity should be avoided to prevent worsening the infection and symptoms. For a few stubborn patients with poor disease control, orchiectomy or even epididymectomy may be considered.