Patient's question:
I have seen a doctor, who only said there is inflammation but didn't specify the exact cause, and no tests were performed. I want to understand the medication issues related to epididymitis, orchitis, prostatitis, and seminal vesiculitis.Doctor's answer:
Disease Analysis: Treatment of Acute Epididymitis1.1 General Management: Bed rest is recommended. Using an scrotal support can alleviate symptoms, and a homemade scrotal support with a cotton pad is more comfortable. For severe pain, painkillers can be used. Local heat therapy can relieve symptoms and promote inflammation resolution. However, early use of heat therapy may worsen pain and risk spreading the infection, so local cold packs should be applied in the early stages. Sexual activity and physical labor can exacerbate the infection, so they should be avoided.
1.2 Use of Antibiotics: Select a drug sensitive to the bacteria. Typically, intravenous medication is administered for 1-2 weeks, followed by oral antibiotics for 2-4 weeks to prevent the condition from becoming chronic.
1.3 Surgical Treatment: If antibiotic treatment is ineffective and testicular ischemia is suspected, epididymal incision and decompression should be performed. The epididymal parietal layer should be incised longitudinally or transversely, but care must be taken to avoid damaging the epididymal ducts. [1-3]
Guidance on Chronic Epididymitis Treatment:
The effectiveness of medication alone in treating chronic epididymitis may not be ideal. In addition to using effective broad-spectrum antibiotics, local heat therapy and other physical treatments are also necessary. Local application of berberine or neomycin for iontophoresis can also be considered. If chronic prostatitis is present, it must be treated concurrently. Epididymitis that recurs due to chronic prostatitis may consider vas deferens ligation before treatment. For multiple recurrent episodes, epididymectomy may also be considered.