Acute epididymitis is caused by urinary tract infection spreading along the vas deferens to the epididymis. Transurethral instrument operation, frequent catheterization, and indwelling catheter after prostatectomy are all factors that cause epididymitis. Pathogenic bacteria are more common in Escherichia coli, followed by Proteus, Staphylococcus, Enterococcus and Pseudomonas aeruginosa. Chlamydia trachomatis can also cause acute epididymitis. Pathogenic bacteria are retrograde into the epididymis through the vas deferens.

Acute epididymitis often occurs after heavy physical labor, such as after lifting heavy objects, etc., can also occur after a strong sexual excitement.

If the treatment is timely, the lesion can disappear completely without damage, but the epididymis function may still be affected. If the treatment is not timely or improperly treated, inflammation can develop into an abscess, leading to serious damage to the epididymis tissue. In addition, epididymitis can be secondary to fibrosis, leading to stenosis or occlusion of the epididymal duct.

Bilateral epididymal damage can often lead to infertility in men or low fertility in men. In the case of testicular involvement, it can also cause testicular spermatogenesis dysfunction. The epididymal abscess can extend and destroy the testis (the epididymal orchitis). Acute epididymitis can evolve into chronic epididymitis.

So, what symptoms will we have?

1.Sudden high fever, increased white blood cell count, painful scrotum pain, sinking sensation in the affected side, pain in the lower abdomen and groin, increased when standing or walking.

2. The affected side of the epididymis is swollen and has obvious tenderness. When the extent of inflammation is large, both the epididymis and the testis are swollen, and the boundary between the two is unclear, which is called epididymal orchitis. The spermatic cord on the affected side is thickened and tender. In general, acute symptoms can gradually subside after a week.

How will the clinical treatment of epididymitis?

1.General treatment. Resting in bed, applying scrotum or homemade cushions to lift the scrotum can alleviate the symptoms. Pain medication can be used for severe pain, local hyperthermia can relieve symptoms and promote inflammation. Sex and physical labor can aggravate infections and should be avoided.

2.Antibacterial drugs. Drugs that are sensitive to bacteria should be selected. Usually, after 1 to 2 weeks of intravenous administration, oral antibacterial drugs are given for 2 to 4 weeks to prevent chronic inflammation.

3.If antibiotic treatment is not effective. Suspected testicular ischemia, the epididymis should be opened and decompressed, longitudinal or transverse multiple cut in the epididymis visceral sheath, but to avoid injury to the epididymis.

4. If using drug for a long time, the body may develop drug resistance, and some patients become chronic epididymitis due to failure to completely cure in the acute phase. Therefore, we recommend the use of herbal medicine therapy though slow but thorough , such as Dr.Lee Diuretics Pill, the main ingredients are psyllium, talc, buckwheat, sorghum, safflower, peach kernel, angelica, red peony, houttuynia, the seed of cowherb, etc. .

The diuretic effect of psyllium and talc can eliminate the swelling and pain of the epididymis.
Safflower and Angelica can promote blood circulation and relieve the pain of the groin.

 With a correct understanding of the disease, a timely treatment plan, and a positive treatment mentality are all guarantees for the cure of epididymitis.

In daily life , we need to reduce the intake of alcohol and spicy food, the number of smoking should also be reduced. And it is best to stop drinking . Patients with epididymitis should avoid sexual impulses and heavy physical activity during the acute phase to avoid aggravating infections and symptoms. Keep defecate smooth. Keep your underarms dry and hygienic. Keep your mood comfortable, don't overwork, strengthen your body, prevent colds and other diseases.

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