Epididymitis: a sporadic but dangerous scrotum disorder ” introduced a rather important topic for the health and well-being of the male reproductive system. In fact, we began to know what epididymitis is , describing it as an inflammation of the epididymis that occurs after contracting sexually transmitted diseases .
This problem is very common among the young people, lacking adequate sexual education, while among adults it is a consequence of surgery or benign prostatic hypertrophy . Today, we want to deal with epididymitis, care, treatments and methodologies to reduce the pain caused by the disease. An in-depth study on the diagnosis and possible therapies to be followed.
Epididymitis Diagnosis
As with any other pathology, when the first symptoms appear, it is important to contact your urologist immediately . Among the most common symptoms, we remember:
- painful ejaculation
- dyspareunia (pain during sexual intercourse)
- redness of the scrotum
- testicular swelling
- genital inflammation
- fever
- enlargement of the inguinal lymph nodes
- dysuria
- pain in the lower abdomen
Therefore, the doctor will first proceed with a physical examination , palpation of the testicle and a rectal exploration. This is useful for checking the health of the vesicles and for detecting any enlargement of the prostate gland . The doctor may also order additional blood and urine tests, which can be used to confirm whether or not the bacterial infection is present.
Following these checks, if the clinical picture is not yet clear, it is possible to carry out:
CT scan of the testicles – The CT scan is used to understand in which areas of the testicle more or less blood flows. The subject is given an intravenous injection of a radioactive drug substance, thanks to which the different areas of blood flow are highlighted. Where the blood supply is greater, it denotes the possibility of being faced with epididymitis. The poor blood supply, on the other hand, could suggest the onset of a testicular torsion (phenomenon of the twisted testicle ).
Ultrasound – this is a non-invasive examination that is used to check the internal anatomical structures of the testicles. With this test it is possible to exclude testicular tumors and testicular torsion .
Screening for venereal diseases – is an exam that is used to search for and ascertain the possible presence of pathogenic bacteria . it is useful to ascertain the etiological agent and consequently to choose the best pharmacological treatment to eradicate the bacterium. The exam is done by inserting a thin swab into the penis to take a sample of fluid from the urethra .
Epididymitis: treatment
Since it is an inflammation, epididymitis is mainly treated with pharmacological treatment. This involves the administration of specific antibiotics, which target precisely that particular pathogen (such as Ofloxacin , or Doxycycline ). In some cases it is necessary to administer NSAIDs ( Non-Steroidal Anti-Inflammatory Drugs ), which are very useful in case of non-bacterial epididymitis. The application of ice directly on the scrotum is also recommended, in cases of rather severe forms. In certain circumstances, the subject with epididymitis is even hospitalized, to monitor any progress and response to treatments.
When the pain accused reaches intolerable levels, the urologist may even request the administration of opioids . For epididymitis, the cures , treatments, and remedies listed above may not always be effective. In this case, it is therefore necessary to resort to a medical intervention, called vein ligation , or vasectomy . In vein ligation, the patient is given an injection consisting of a drug mix (analgesics, steroids, NSAIDs) at the level of the epididymal nerve.
Following this injection, the pain disappears. Unfortunately, the effect is only temporary. After two to three months, the pain is likely to return. At that point it is necessary to undergo the same operation again. In spite of everything, the pain could still come back and at that point, the only possible way to follow, is that of the excision of the epididymis . Epididemictomy can be total or partial and is the best solution in the case of scrotal abscess .
In addition to all the previous treatments described in the previous paragraph, to better alleviate the pain accused, the subject is advised to
- Remain in bed, lying down, so that the tension of the tissues is less
- Apply ice locally to the scrotum
- Totally refrain from having sexual intercourse
Epididymitis is a disease that is normally treated easily, perhaps through the simple administration of specific antibiotics. As always, the best thing is to contact a specialized urologist immediately to find the best solution as soon as possible.
Conclusion
All of the treatments mentioned above can be different for people with this type of disease and the doctor will recommend you the right treatment. Please share this information about epididymitis treatment with other people will need.
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