Epididymitis. Treatment

Epididymitis (inflammation of the epididymis ) is often detected in men between the ages of twenty and fifty. Usually, the causative agents of the disease are trichomonads and gonococci.

There are many factors contributing to the development of pathology. Among the most common are subcooling, scrotal trauma, riding, physical overstrain, endoscopic examinations, interrupted sexual intercourse. As a rule, the disease affects one testicle. In rare cases, a bilateral epididymitis is detected.

Treatment of pathology is selected in accordance with the symptoms and nature of its course. In chronic form, therapy is aimed at eliminating the cause of the disease.

Acute epididymitis

As a rule, the disease in this form begins to develop rapidly, accompanied by an increase in temperature, a sharp increase in size and tightness of the epididymis, intense pains, as well as swelling and redness of the scrotum. In the inflammatory process, the testicular shell and the vas deferens can be involved.

If there is a timely and appropriate treatment symptoms, acute manifestations subsided throughout the week. However, the consolidation and enlargement of the epididymis can remain a long period.

Treatment of epididymitis in this form involves the use of pain-relieving drugs. Typically, the patient is recommended rest and bed rest. It is necessary to fix the scrotum with a bandage or use a suspensory (supporting pouch).

The doctor prescribes antibiotics that affect the pathogens that provoked epididymitis. Treatment with this should be long, since the complete elimination of all symptoms can occur after a few weeks, and in some cases, even months after the start of therapy.

When choosing antibiotics take into account the sexual status and age of the patient. Thus, for patients younger than thirty-five years with concomitant urethritis and venereal infection, it is expedient to prescribe tetracycline group preparations (Doxycycline), certain fluoroquinolones (Levofloxacin, Ofloxacin), macrolides (Roxithromycin, Azithromycin and others ).

Patients over the age of 35 years with a urine sample showing bacterial presence, signs of a lesion or abnormality of the urinary tract, or endourethral examinations were performed against a background of moderately intense symptoms accompanying epididymitis, treatment may include the use of "Co-trimoxazole".

The correction of the choice of an antibiotic agent depends on the results of the sensitivity studies of the microflora.

For the period of therapy, sex, spicy meals, alcohol, hypothermia are excluded.

When the acute form of the disease changes into chronic epididymitis, treatment continues with antibiotics. In addition, resorption therapy is necessary. It includes injections of aloe, "Lidazy", vitreous. Injections are administered subcutaneously for twenty to thirty days. Another therapeutic measure is iontophoresis with hydrocortisone ("Lidase") on the area of the diseased appendage.

The use of antibiotics should be combined with drugs of general effect (immunostimulants, antihistamines). Some cases suggest the only method of treatment - surgical. In this case, surgical removal of the epididymis prevents the development of complications of epididymitis, including infertility.

Physiotherapeutic treatment is also important in the process of eliminating pathology. As the main procedures, ultrasound and phonophoresis are prescribed. Compresses from herbs can also be effective.