The causes and clinical manifestations of epididymitis can be found in the previous article. If left untreated, epididymitis can have complications. One of them is suppuration of the epididymis. The formation of a purulent focus is manifested by an increase in temperature and symptoms of general intoxication. The skin of the scrotum becomes smooth, shiny and sharply painful. The spread of the infectious process to the testicle provokes the development of acute orchitis. The chronic course of epididymitis is accompanied by a gradual replacement of the epididymal tissue with connective tissue. Scarring causes obstructive obstruction in the epididymis, which is the cause of infertility in bilateral epididymitis.
Diagnosis of epididymitis. Mode and nutrition of the patient during the treatment of epididymitis
Acute uncomplicated epididymitis is treated on an outpatient basis by a urologist. The threat of complications is an indication for hospitalization. In this case, the patient is transferred to strict bed rest. It is important to provide rest to the scrotum, for which a suspensorium is used or a folded towel is placed under the scrotum for an elevated position. Read more about drug treatment of epididymitis on estet-portal.com. Spicy and fried foods are excluded from the diet. Local treatment consists in applying cold to the scrotum, the duration of the procedure is from 1 to 2 hours with breaks of about half an hour.
Prior to treatment of epididymitis, urethral discharge is taken, followed by a Gram stain. This study allows you to identify pathogens. Treatment of epididymitis necessarily includes powerful antibiotic therapy. The choice of the drug is carried out taking into account the type of pathogen. Read more:
- drug treatment of acute epididymitis;
- physiotherapy for epididymitis;
- indications for surgery for epididymitis;
- treatment of chronic epididymitis;
- prevention of inflammation of the epididymis.
The main methods of treatment of epididymitis in the acute stage
A combination of antibiotics is often used to treat epididymitis, as inflammation is often caused by multiple organisms at once.
For the fastest elimination of the inflammatory process, physiotherapeutic procedures are recommended. With suppuration of the epididymis, an abscess is opened and drained. In severe cases, the issue of removing the appendage is decided.
Laser-magnetic impact on the scrotum can improve the result of treatment and speed up the healing process. This method of treatment reduces the duration of the acute phase of epididymitis and makes the tissues of the appendages resistant to infectious agents.
Treatment of chronic epididymitis. Prevention of inflammation of the epididymis
The treatment of epididymitis in the chronic stage is very similar to the treatment of acute epididymitis. However, in the chronic course of epididymitis, the emphasis is on physiotherapy and local treatment. The development of complications against the background of treatment failure is an indication for removal of the epididymis.
To prevent the development of epididymitis, it is important to avoid trauma to the scrotum, to avoid hypothermia and overheating of the scrotal tissues. Prevention of sexually transmitted infections is also important.
Identification of the symptoms of epididymitis described in our previous article should be the reason for an immediate visit to a doctor in order to treat epididymitis.
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