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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What foods should not be eaten with epididymitis?

Patients with epididymitis need to pay attention to their diet by eating light and avoiding overly greasy foods. They should consume more fresh vegetables and fruits. Additionally, they should avoid spicy and irritating foods such as onions, ginger, garlic, and chili peppers, and limit or completely avoid these items. It is necessary to quit smoking and drinking alcohol, and also avoid drinking strong tea, coffee, and other stimulating beverages. Besides dietary considerations, it is important to avoid sitting for long periods and refrain from vigorous exercise. Patients should try to lie down as much as possible and elevate the scrotum to help promote local blood circulation, which is beneficial for the treatment of the condition.

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Written by Wang Shuai
Urology
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Epididymitis Symptoms and Treatment Methods

Epididymitis refers to the enlargement of the epididymis caused by infections such as bacteria and viruses, accompanied by pain. Some patients may notice swelling of the scrotal skin and even an increase in skin temperature. For this condition, it is necessary to use antibiotics in a timely manner. If the epididymitis is caused by bacterial infection, quinolone antibiotics or cephalosporin antibiotics can be used for treatment, generally requiring medication for one to two weeks. If the symptoms are severe, it is advisable to administer antibiotics intravenously for better results. If it is caused by a viral infection, antiviral medications are needed. During treatment, it is important to rest in bed as much as possible and to keep the scrotum elevated to facilitate local blood circulation. Dietary considerations should include eating lighter foods and avoiding spicy and irritating foods. (The use of medication should be 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.

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How to exercise for self-healing of epididymal cysts

Epididymal cysts cannot heal through exercise alone. Also known as spermatocele, an epididymal cyst primarily occurs due to the blockage of the epididymal tubules, which can be caused by congenital factors or acquired factors such as infections or trauma. In most cases, epididymal cysts are small and the patient may not experience any discomfort. In such cases, no special treatment is needed; regular ultrasonic examinations at the hospital to monitor any changes in the size of the cyst are sufficient. However, some patients may have larger cysts that cause pain in the testicles and epididymis. For these cases, surgical removal of the cyst or aspiration of the fluid from the cyst can be considered.

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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.