Epididymitis mainly occurs in young adults. The infection of nearby organs specifically causes its incidence. The epididymis is an organ that stores sperm and is responsible for raising sperm. It is an essential organ for fertility. So epididymitis must not be taken lightly.
The epididymis is located in the scrotum and attached to the upper and posterior edges of the testis. It is made up of many winding tubules, which converge into the epididymal canal at the end and continue with the vas deferens. In addition to the function of temporarily storing sperm, epididymis can also secrete liquid to provide nutrition for sperm and promote sperm development.
Epididymitis is caused by bacteria such as Escherichia coli, Staphylococcus, or Streptococcus. When the organs adjacent to the testicle (such as prostate, seminal vesicle, posterior urethra, etc.) are infected, these bacteria will take the opportunity to invade the epididymis and cause epididymitis.
According to the clinical manifestations of epididymitis, epididymitis is usually divided into the following two types:
Acute epididymitis
Sudden severe pain in the scrotum and spread to the back waist. Epididymis swells rapidly and can increase to twice as much as usual. Scrotal skin is also red and swollen, and even it isn't easy to walk. At the same time, the patient will have chills and shudder and feel unwell all over the body.
In the acute stage, the application of scrotal support or a self-made cushion to support the scrotum can reduce symptoms. People can choose painkillers. In the early stage, use ice bags for a local cold compress. Avoid excessive sexual life and physical labor to prevent aggravating infection.
If the symptoms are apparent, select sensitive drugs according to the bacteria. Usually, after intravenous administration for 1 ~ 2 weeks, oral antibiotics for 2 ~ 4 weeks to prevent chronic inflammation.
Chronic epididymitis
It is generally because the acute process has not been completely cured and turned into a chronic process. The local part will still feel dull pain and discomfort. There may be hard lumps when touching the epididymis with your hand, and the vas deferens and spermatic cord also increase slightly.
The effect of simple application of drugs in chronic epididymitis is not necessarily ideal. In addition to applying effective broad-spectrum antibiotics, physical therapy such as a local hot compress is also necessary.
If there is chronic prostatitis, it must be treated at the same time. Recurrent epididymitis from chronic prostatitis can be treated with herbal medicine, such as
Diuretic and Anti-inflammatory Pill.
If the drug treatment is ineffective and suspected testicular ischemia, perform epididymis incision and decompression. The doctor will cut the tunica vaginalis of the visceral layer of the epididymis vertically or horizontally. Epididymal canal injury should be avoided. Patients with repeated attacks can also consider epididymis resection.
In addition, patients should also pay attention to some life conditionings:
1. Have a regular life should and avoid long-time sitting. Have a moderate sexual life to reduce the congestion of sexual organs and epididymis, improving local resistance. Long-time sitting may lead to male hemorrhoids and even epididymitis. Therefore, white-collar men should walk around regularly.
2. Maintains the mood to be happy, do not overwork. In daily life, men need to ensure that they have enough sleep to have a good mental state and will not be vulnerable to diseases.
3. Strengthen exercise. One of the reasons for epididymitis is that your body's immunity is not enough. Therefore, men should strengthen their exercise and improve their immunity. Of course, the intensity of exercise should not be too large. Regular aerobic exercise can be used, such as jogging, swimming, etc.
4. Improve the diet structure, avoid spicy food, and prevent the intake of high cholesterol food from preventing local congestion of epididymis. We should also reduce drinking to eliminate the source of endogenous damp heat.
5. Pay attention to your hygiene. The first thing for epididymitis patients is paying attention to their health, such as avoiding going to some public baths, swimming pools, etc. They should also pay attention to not sharing towels and other bathing utensils with others as far as possible to avoid bacterial breeding.
Men can completely cure epididymitis as long as they take timely and proper treatment. Generally, it will not cause adhesion and obstruction of vas deferens in epididymis like epididymal tuberculosis.
However, if men take it lightly and do not take any measures for a long time, it will block the lumen of the vas deferens duct in the epididymis due to inflammatory scar adhesion, resulting in secondary infertility. And it will be difficult to recover, resulting in lifelong hatred.