Chronic epididymitis to reach the level of eradication is difficult, but can choose drug treatment, surgical treatment and general treatment.
1. Drug treatment: chronic epididymitis may not be effective if antibiotic drugs are applied alone. In addition to giving antibiotic drugs such as amoxicillin, cefixime, etc., it can also be combined with safranin for topical medication. If chronic epididymitis is combined with an acute attack, appropriate drugs need to be selected according to the results of bacterial culture. The above drugs should be used under the guidance of doctors.
2. Surgery: For patients with chronic epididymitis treated conservatively, ligation of the vas deferens or epididymectomy if necessary can be chosen according to the doctor’s instruction.
3. General treatment: patients should be braked or bed rest, ensure reasonable nutrition, elevate the scrotum. In the early stage of the disease, apply ice packs locally, and in the later stage, apply hot packs or hot water sitz bath. The use of 50% magnesium sulfate solution local wet compresses can reduce the redness and swelling of the scrotal skin and epididymis, and promote the dissipation of inflammation.
For patients with retention catheters, the catheter should be removed as early as possible when conditions permit; when conditions do not permit, suprapubic cystostomy is feasible to divert urine.
The treatment of chronic epididymitis has a certain individual variability, it is recommended to go to the regular hospital in time, according to the doctor’s advice to choose the appropriate treatment, the drug should be applied under the guidance of the doctor.