Post Date December, 02 2023
In medicine, inflammation is generally characterized by redness, swelling, heat, and pain, and epididymitis in male diseases is no exception. It refers to acute suppurative inflammation of the testes and epididymis. In clinical practice, antibiotics are generally used for anti-inflammatory treatment. However, if the medication is not effective or there are other adverse complications, we need to take further surgical treatment. Let's take a look together:
Antibiotic treatment for epididymitis:
1. For epididymitis caused by Neisseria gonorrhoeae and (or) Chlamydia trachomatis infection, one of the following options can be selected: ① ceftriaxone 250mg~500mg, intramuscular injection, once a day, for 10 days; Add doxycycline 100 ㎎, twice a day, orally for 10 days; Or ② 2g spectinomycin, intramuscular injection, once a day, for 10 days; Add doxycycline 100 ㎎, twice a day, orally for 10 days.
2. For epididymitis that may be caused by intestinal pathogens, one of the following options can be chosen: ① Ceftriaxone 250mg to 500mg, once a day, intramuscular injection, for a total of 10 days; Add doxycycline 100mg orally twice a day for 14 days; Or ② 2 tablets of compound Xinnuomin, taken orally twice a day for 10-14 days; Or ③ 300mg of ofloxacin, taken orally twice a day for a total of 14 days. Patients should rest in bed, raise the scrotum, and those with high fever can take painkillers to reduce their fever. Patients with sexually transmitted infections should mobilize their sexual partners for examination and treatment.
How does surgery treat epididymitis?
Experts point out that there are two main surgical treatments for epididymitis: the first is used in the treatment of acute epididymitis, as the inflammatory mass of acute epididymitis sometimes exceeds the volume of the testicles, which may lead to testicular necrosis if severe. The treatment of general acute epididymitis is often treated with medication, both orally and intravenously, but the treatment effect is often poor.
After acute inflammation, there will be a chronic process, with residual chronic inflammatory nodules in the epididymis presenting symptoms, causing great pain to the patient. If surgical treatment is used, the aim is to release the tunica vaginalis of the seminal vesicle, reduce the pressure of swollen tissue on the blood supply of the testis and epididymis, and avoid testicular necrosis and atrophy.
Advocate for epididymectomy in the acute phase to heal the lesion as soon as possible, eliminate the prolonged inflammatory mass of the epididymis in the later chronic phase, causing mental pain and suffering, as well as economic losses.
Another method of surgical treatment for epididymitis should be used for the treatment of chronic epididymitis.
Chronic epididymitis is different from acute epididymitis and is often caused by residual lumps. Therefore, surgical treatment is the most direct method for treating chronic epididymitis. Therefore, if you miss the surgical treatment of acute epididymitis and become chronic epididymitis, please undergo epididymectomy surgery as soon as possible to avoid greater harm to your health.
To sum up, in the acute phase, we can use antibiotics for anti infection and traditional Chinese patent medicines and simple preparations for heat clearing and detoxification. If the antibiotic effect is poor or other adverse reactions or complications are combined, surgical treatment can be considered, but these must be carried out under the guidance of professional doctors.
