Adverse effects of epididymitis and hydrocele of both testicles on the right side include:

Patient's question:

6.10 in the afternoon, pain began to appear in the right testicle. By that night, the right testicle gradually swelled and became painful. At the time, I didn't pay much attention, thinking it would probably be fine the next day. On the following day, 6.11, the problem became more serious, with the pain intensifying, the swelling worsening, and the testicle becoming very hard. That night, I went to Shenzhen Hospital for an ultrasound check, which revealed right epididymitis and bilateral hydrocele of the testicles. That evening, I received a ceftriaxone drip for anti-inflammatory treatment. The doctor recommended three consecutive days of treatment to first suppress the inflammation, and after three days, a follow-up check would be conducted to assess the situation and severity to determine if minor surgery to drain the hydrocele was necessary. After receiving three days of drips in Shenzhen, I felt almost no effect, so I returned to my hometown.

Doctor's answer:

Disease Analysis: Treatment of Acute Epididymitis
1.1 General Management: Bed rest is recommended. Using an scrotal support can alleviate symptoms, and a homemade scrotal support with cotton padding is more comfortable. Severe pain can be relieved with analgesics, and local heat therapy can alleviate 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 Antibacterial Drugs: Select drugs sensitive to bacteria. Typically, intravenous administration is used for 1-2 weeks, followed by oral antibacterial drugs 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 visceral tunica vaginalis should be incised longitudinally or transversely, but care must be taken to avoid damaging the epididymal ducts. [1-3]
Guidance on the Treatment of Chronic Epididymitis
The treatment of chronic epididymitis may not yield ideal results solely with medication. In addition to using effective broad-spectrum antibiotics, local heat therapy and other physical treatments are also necessary. Local application of emodin or neomycin for iontophoresis can also be considered. If chronic prostatitis is present, it must be treated concurrently. Epididymitis recurring due to chronic prostatitis may be considered for vas deferens ligation before treatment. For multiple recurrent episodes, epididymectomy may also be considered.