Epididymitis develops when the elongated spiral tubein the scrotum becomes infected and causes immense discomfort. Treatment is based on the cause such as some sexually transmitted infection, viral/ bacterial infection, prostate gland enlargement, groin trauma, intake of some medications or bladder infection.
Treatments For Epididymitis
Doctors recommend antibiotic medicines that prevent cells of the bacteria from forming proteins which are vital for their existence and development. Antibiotic medicine administration is done either intravenously, through jab form or oral course of tablets to be taken for ten or more days.
Mostly, therapy is decided after identification of culprit bacterial forms. Several health care practitioners prescribe dual antibiotic treatment course since people seldom contract a single organism.
For males in their thirties, the following antibiotics are suggested:
Doxycycline Tablets (two times daily till ten days) with or without ceftriaxone (solo dosage jab administered intravenously/intramuscularly). According to recommendation by the Centres for Disease Control and Prevention, one hundred milligrams of doxycycline (two times everyday for ten days) must be taken in conjunct with ceftriaxone 250 milligrams administered intramuscularly.
Azithromycin (single dosage) coupled with Ceftriaxone singular jab dosage. For males in their forties and above that engage in rectal sex but aren’t infected with sexually transmitted infections like Chlamydia or Gonorrhea, antibiotic medicines such as combination (trimethoprim + Sulfamethoxazole) or merely Ofloxacin or Ciprofloxacin are recommended as dual separate dosages daily for a fortnight.
When the infection was spread due to sexual transmission of communicable bacterial forms then the sex mate/s of the infected male must also undergo treatment despite being asymptomatic.
Levofloxacin or even ofloxacin is suggested when the disease is acute in nature and caused by enterics like Escherichia coli.
When the person suffers from chronic epididymitis then a course of antibiotic medicines is required yet again to treat the recurrence.
Among kids who develop epididymitis as a result of UTIs (urinary tract infection) antibiotics like appropriate penicillin or even trimethoprim plus sulfamethoxazole.
Non-steroidal anti-inflammatory medicines like ketoprofen, Aspirin, Naproxen or Ibuprofen are often advised for controlling pains, decreasing/preventing swelling as well as fever among adult men.
Acetaminophen too can be given along with any of the above mentioned NSAIDs.
Firstly, ensure resting supine till symptoms of epididymitis have subsided or for around 48 to 72 hours.
Scrotal elevation by using folded up towels/cushions underneath the scrotum or jock straps/ makeshift one prepared by using a triangle-shaped dressing or hankie. Cold therapy by using gel packs or small plastic pouch filled with ice cubes swathed in towel can be placed over the spot for around thirty minutes.
While standing don undergarments devised to support the male genitalia (supporters). Other important points to help accelerate the recovery process are avoiding sexual contact till total clearance of the infection and avoid intake of alcoholic drinks as well as smoking to prevent inception of symptoms presently and in the near future.
When epididymitis is caused by gonorrhea or Chlamydia then the herbs Thua and guaiacum are proven to be effective. Ripened fruits of the herb Serenoa repens, Goldenseal, cranberry extracts, horsetail and the leaves, stems of Pulsatilla occidentalis are popular alternate remedies.
Surgery becomes necessary when epididymitis aggravates or turns chronic in nature. This is also advised as the last line of therapy when nothing else works. Operative removal of testis (orchiectomy) or epididymis (epididymectomy) might be performed as a sure-shot means of eliminating persistant pain and as a permanent resolution when fertility isn’t a consideration.
Other surgical choices include vasectomy reversal operation done to unblock the ductus deferens or re-joining the incised tips which helps to allay internal pressure of the epididymis once flow has been restarted.
Open-ended vasectomies are also performed which leaves the testicular tip of the vas deferens open while merely sealing the upper end of the vas deferens. These are recommended for congestive epididymitis which arises following a genital-urinary operation.
For some sufferers the underlying cause could require treatment, for instance, operative rectification of urinary tract condition.
Taking a bath in hot water for around fifteen to thirty minutes, one or two times daily helps in boosting supply, especially to the immersed region which assists in accelerating the body’s capability of combating infection. Add a few droplets of the herb juniper berry to the bath for allaying bothersome symptoms of epididymitis.
Chemical epididymitis that arises due to intake of cardiac drug amidarone can be resolved by seeking medical advice about reduction of dosage or switching to a different medicine altogether.
When epididymitis has turned severe then both the testicles can develop infection and could be destroyed as a result. In case a pus accruement or abscess develops then operative draining of infection-ridden pocket might be required.