Patient's question:
Will it turn into chronic? I'm very worried. Generally, how long does epididymitis caused by chlamydia infection take to turn into chronic? I can feel the left epididymis is swollen, with medium hardness, not hard, could this be a sign of chronicity?Doctor's answer:
The establishment of urinary tract infection depends on the quantity, virulence of the pathogenic bacteria, and the local and systemic resistance of the body. The cleanliness of the external genitalia in women and maintaining a certain amount of urine and urination can reduce bacterial adhesion, which has a positive significance for preventing urinary tract infections. For urinary tract infections related to sexual activity, emptying the bladder immediately after intercourse and taking a single dose of antimicrobial medication, such as Compound SMZl tablets or Norfloxacin 0.2g, can help prevent recurrent infections. For frequent recurrences of urinary tract infections, preventive medication with half the usual dose of antimicrobial drugs, such as Compound SMZl tablets or Norfloxacin 0.2g, once daily for 6–12 months, along with urine culture every 3–6 months, can reduce the recurrence rate by 95%. At the same time, it is important to actively identify and correct the underlying causes of frequent urinary tract infections.Currently, the treatment of urinary tract infections often involves classified management, where the infection is categorized into different types such as cystitis, acute pyelonephritis, male urinary tract infection, complicated urinary tract infection, pregnancy-associated urinary tract infection, and asymptomatic bacteriuria, and corresponding treatments are administered to make the therapy more targeted.