Inflammation of the epididymis

Inflammation of the epididymis or epididymitis is a disease that manifests itself in the defeat of the scrotum. The most common epididymitis occurs against the background of chronic inflammatory diseases of the urino-genital organs, for example, prostatitis, urethritis, vesiculitis. Rarely epididymitis develops as a complication of such infectious diseases as pneumonia, influenza, angina, etc. An additional risk factor for epididymitis is considered trauma to the pelvis, scrotum, perineum, as this can cause stagnation of blood in the pelvic area. Usually epididymitis manifests acutely, but there are situations with chronic inflammation of the epididymis.

Apart from the underlying disease, there is a kind of epididymitis that develops as a result of sterilization, namely, removal or dressing of the vas deferens. This form of the disease is due to the fact that the spermatozoa that form in the testicles do not have time to resolve. Their accumulation in the appendages leads to the development of inflammation.

Symptoms of

The main symptoms of inflammation of the appendage include an enlarged scrotum, pain in the area of ​​inflammation, which increases at the time of movement. The adherence of the testicle becomes dense and painful, considerably increasing in size. In the future, inflammation affects the skin of the scrotum and the testicle. Further, edema, swelling and hyperemia develops. The man has a fever, has a headache, weakness, etc. In case if adequate treatment is not carried out, the inflammatory process can spread to the testicle, then there is a high risk of acute orchitis and suppuration of the epididymis. Treatment of advanced epidemitis is very difficult. Severe cases can result in excretory infertility. In other words, there is obstruction of the appendages for spermatozoa.

The chronic form of epididymitis develops mainly in specific inflammatory diseases( for example, in tuberculosis, syphilis) or as a complication after a male sterilization operation. In this case, there are constant or periodic pain in the testicle, especially at the time of walking. Painful sensations can spread in the groin, lower back, sacrum. The body temperature rises slightly, stopping at values ​​up to 37 ° C.To the touch, the appendage of the testicle becomes dense, painful, the compaction areas are felt.

Compared with the acute form, chronic epididymitis occurs more often. In most cases, men suffer a bilateral form of it with a high probability of developing bilateral obliteration of the appendages, which ultimately can lead to an obturation form of infertility.

Treatment of

Treatment of mild forms of epididymitis takes place at home. Hospitalization is only necessary if there is a high probability of complications. Acute epididymitis requires bed rest. An obligatory condition for treatment is the elimination of the disease, against which the epididymitis developed. Because of difficulties in determining the type of pathogen, antibiotics with a broad spectrum of action or a combination of two antibiotics of a narrow spectrum of action are prescribed. To ensure the immobility of the scrotum, it is fixed in an elevated position with a rolled towel. During the treatment should follow a diet. From the diet should be excluded from acute and fried foods, a generous drink is welcomed. In case of acute inflammation, local cold application is recommended in the form of a cold compress on the scrotum or ice. The session should last 1-2 hours with a break of at least 30 minutes. Assign enzymes for resorption of drugs, vitamins.

Thermal procedures for the scrotum, diameter, physiotherapy, UHF for resolving the inflammatory infiltrate are applied when the acute phase of the inflammatory process in the epididymis subsides. With the development of suppuration in the epididymis, an operation is performed to open and drain the abscess, in especially severe cases, the appendage is removed.