Does epididymitis require surgery?

Written by Wang Shuai
Urology
Updated on September 13, 2024
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Patients with epididymitis generally do not require surgical treatment. In most cases, they are treated with oral medications or intravenous antibiotics, and typically recover within 1 to 2 weeks of treatment. However, if the symptoms of epididymitis are severe and not treated in time, leading to further aggravation of the condition or even formation of an epididymal abscess, surgical intervention may be necessary. Typically, this involves incision and drainage of the abscess to remove pus from the body. It is also important to regularly change dressings and keep the wound area clean and dry until it gradually heals. (Please administer medication under the guidance of a doctor.)

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Written by Wang Shuai
Urology
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Do you need to avoid certain foods if you have epididymitis?

After being diagnosed with epididymitis, there are dietary restrictions to consider. Here are a few things to keep in mind regarding your diet: First, it's important to eat lightly. Avoid spicy and irritating foods such as onions, ginger, garlic, and chili peppers. Try to eat these sparingly or not at all. Also, avoid drinking strong tea, coffee, and other stimulating beverages. It's necessary to quit smoking and drinking alcohol, and instead, increase your intake of fresh vegetables and fruits to boost your vitamin intake. Beyond diet, there are also lifestyle considerations to keep in mind. Try to lie flat as much as possible and keep your scrotum elevated. This can promote local blood circulation, which is beneficial for the treatment of the condition. Avoid vigorous exercise and prolonged sitting or standing.

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Written by Wang Shuai
Urology
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How to treat epididymitis?

For the treatment of epididymitis, antibiotics are mainly used. Epididymitis is mostly caused by bacterial infections, such as Escherichia coli, Pseudomonas aeruginosa, and Staphylococcus aureus. In such cases, it is necessary to use fluoroquinolone antibiotics and cephalosporin antibiotics promptly. If it is caused by a viral infection, antiviral medications are recommended. During treatment, it is important to eat a light diet and avoid spicy and irritating foods. Smoking and alcohol should be avoided. Patients should lie down as much as possible, rest, and elevate the scrotum, which helps the circulation of blood in the scrotum and testicles and aids in the improvement of the condition. Vigorous exercise or prolonged standing during treatment can worsen the condition. (The use of medications should be guided by a professional doctor.)

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Written by Wang Shuai
Urology
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Can you exercise with epididymitis?

Epididymitis refers to the condition where the epididymis becomes enlarged and painful due to infections caused by bacteria, viruses, etc. The testicle may also experience a significant sensation of heaviness and pain. In such cases, it is not advisable to engage in vigorous physical activities. Instead, it is recommended to lie down as flat as possible and elevate the scrotum, which helps in improving local blood circulation. If intense physical activities are performed during the treatment of epididymitis, it can exacerbate the condition, resulting in significant pain. Therefore, it is best to avoid vigorous exercises while suffering from epididymitis. Prompt anti-inflammatory treatment is necessary, and the diet should be as bland as possible, avoiding spicy and irritating foods.

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Urology
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How can an epididymal nodule be eliminated?

A significant portion of patients with epididymitis will have a hard nodule left at the site of the epididymis after inflammation control. This nodule is difficult to eliminate through medication. If the patient does not experience discomfort later on, local heat application or massage can be used to help dissipate the nodule. If the nodule does not cause any particular symptoms, no special treatment is needed. However, if the nodule is associated with significant pain or causes recurrent epididymitis, surgical removal of the epididymal nodule is recommended. After the surgery, timely anti-inflammatory treatment should be administered, and the wound should be kept clean and dry. Generally, recovery can be expected in about a week.

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Written by Wang Shuai
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Why is epididymitis getting more painful?

After suffering from epididymitis, the epididymis will show symptoms of enlargement and pain. If not treated promptly, the epididymis will further enlarge, and the pain will gradually become more pronounced, which is a normal phenomenon. However, if the pain continues to worsen despite active treatment, it should be considered that this may be due to a lack of attention to lifestyle care, such as engaging in vigorous exercise during treatment, or situations involving prolonged standing or sitting. Additionally, it is important to be vigilant about the possibility of testicular torsion accompanying epididymitis. Therefore, if the pain continues to worsen during the treatment of epididymitis, it is advisable to promptly re-examine the color Doppler ultrasound to understand the blood flow situation of the testicles and epididymis, and then proceed with targeted treatment.