Post Date December, 02 2023
Epididymitis Causes Pain to Men
When a man experiences epididymitis, both systemic and local symptoms appear, such as burning sensation in the urethra, frequent urination, urgency, pain in urination, incomplete urination, difficulty urinating, some cases of white discharge from the urethra, and more severe cases of epididymitis and epididymitis; Due to the stimulation of epididymitis inflammation, a series of symptoms occur, such as swelling and pain in the lumbosacral, perineum, testicles, and other parts, which makes patients restless and painful. Epididymitis seriously affects work and life.
Epididymitis can be acute or chronic
1. Symptoms of acute epididymitis:
Sudden increase in high fever white blood cells, swelling and pain in the affected scrotum, sinking sensation, and traction pain in the lower abdomen and groin, which worsens when standing or walking. The affected epididymis is swollen with obvious tenderness. When the inflammation range is large, both the epididymis and testes are swollen, and the boundary between the two is unclear, it is called epididymitis. The affected side's spermatic cord thickens and there is also tenderness. In general, acute symptoms can gradually subside after one week.
2. Symptoms of chronic epididymitis:
Chronic epididymitis is more common, and some patients become chronic due to incomplete cure in the acute phase. However, most patients do not have a clear acute phase, and inflammation is often secondary to chronic prostatitis or injury. Patients often experience hidden pain and swelling sensation in the affected side of the scrotum, which often involves the lower abdomen and the ipsilateral groin, and sometimes may be accompanied by secondary hydrocele. During examination, there is often varying degrees of enlargement and hardening of the epididymis. Mild tenderness, with enlarged vas deferens on the same side.
How to treat it?
Epididymitis can be divided into acute and chronic, so treatment is also emphasized. For acute epididymitis, patients are advised to rest in bed and lift the scrotum to alleviate pain. In the early stages, ice packs can be placed in the epididymis to prevent swelling. In the late stage, hot compress can be used to promote local blood circulation and accelerate the regression of inflammation.
As it belongs to infection, anti infection treatment should be carried out. In clinical practice, broad-spectrum antibiotics and antibiotics with better effects on Gram negative bacteria are often used. For systemic symptoms such as pain and fever, antipyretic and analgesic drugs should be used for symptomatic treatment. If the pain in the epididymis is severe, a specialist can administer 10-20 milliliters of 1% lidocaine to partially seal the spermatic cord from the upper end of the testicle, which can relieve pain and relieve bloating.
(Intern Editor: Lai Jiaxing)
