There are hard lumps in the tail of epididymis mostly caused by epididymitis, its treatment plan: First, if the diagnosis is acute, it is recommended to give cefuroxime sodium for injection intravenously for one week, or cefoxitin sodium for injection intravenously for one week, the first 3 days of treatment can be given dexamethasone injection 5mg, 1 time/day, after 3 days change to dexamethasone 2mg, 1 time/day intravenously, then After 3 days, stop using the drug. Secondly, if the examination confirms the existence of chronic phase, take cefixime capsule orally for one week continuously or roxithromycin capsule orally for one week continuously and observe the improvement of symptoms. Thirdly, for painless epididymal mass, if the patient has no fertility requirements or is married with children, surgical excision and pathological examination can be considered, and the mass can be removed after surgical incision of the scrotum or together with the epididymis.