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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Is bed rest necessary for epididymitis?

After the occurrence of epididymitis, the epididymis will enlarge to various extents, accompanied by pain, and the weight of the epididymis will significantly increase. In such cases, if the patient stands or sits for extended periods, the pain becomes more noticeable and is not conducive to treating the condition. Frequent prolonged sitting or standing, or even intense physical activity, could potentially lead to the risk of testicular torsion. Therefore, after being diagnosed with epididymitis, doctors usually advise patients to lie flat as much as possible. It is best to elevate the scrotum while lying flat, as this helps with local blood circulation and positively affects the treatment of the condition. If there is a need for special circumstances requiring some activity, it is best to use a scrotal support to lift the scrotum.

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Written by Gao Tian
General Surgery
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How many times a day should a hot compress be applied for epididymitis?

It is generally recommended to do this three to five times. Meanwhile, physical therapies like heat application can only alleviate symptoms. The core treatment still involves symptomatic supportive care. It is advised to visit the urology department as soon as possible for comprehensive examinations, such as an ultrasound and tests on prostate fluid or epididymal fluid. Following the results, the next steps can be planned. Regularly rest, pay attention to diet, avoid spicy and irritating foods, adjust your mindset, and maintain a good mood. At the same time, actively pursue anti-inflammatory treatment. With proper control, recovery can often be quick, followed by regular reviews.

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Written by Wang Shuai
Urology
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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.

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Written by Wang Shuai
Urology
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epididymitis symptoms

The main clinical manifestations of epididymitis are significant enlargement of the epididymis accompanied by obvious pain. At the same time, the skin of the scrotum will be red and swollen, and the skin temperature will increase. If not treated promptly, the condition may further develop and possibly involve inflammation of the testis, and even lead to the possibility of testicular and epididymal abscesses. If a testicular or epididymal abscess occurs, touching the testis and epididymis will show a distinct fluctuation, and even an abscess rupture may occur, with pus visible on the skin of the scrotum and flowing out from within the scrotum. If these symptoms appear, it is necessary to promptly visit the hospital's urology department and use antibiotics for standard treatment. If an abscess has already formed, an abscess incision and drainage should be performed. (Specific medication use should be carried out under the guidance of a doctor.)

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Written by Wang Shuai
Urology
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What should I do if I have an epididymal nodule?

Many patients who have suffered from epididymitis will have a hard, smooth-surfaced, slightly tender, or asymptomatic nodule left on the epididymis after the swelling subsides and pain is controlled. This type of nodule is also referred to as a negative nodule. These nodules are difficult to completely eliminate with antibiotics, or may not be eliminated at all. If the patient does not have significant discomfort, no special treatment is necessary. If the presence of the nodule leads to recurrent inflammation or significant pain, affecting the patient's normal work and life, it may be considered to apply local heat or gently massage to promote the reduction of the nodule. If these treatments do not effectively improve the condition, it is recommended to surgically remove the nodule from the epididymis.