Epididymitis the clinical features and treatment

Epididymitis male reproductive system is non-specific infection, More common in young and middle-aged, many pathogenic bacteria enter the vas deferens retrograde epididymal inflammation caused by lymphatic and hematogenous infection rare, it often secondary to Epididymitis urethritis, prostate Seminal Vesiculitis, urethral instrumentation and long-term operating the indwelling catheter, In addition urethral obstruction such as urethral stricture, such as benign prostatic hyperplasia is also Epididymitis one of the risk factors, mostly pathogens Escherichia coli, Staphylococcus aureus, Streptococcus, Neisseria gonorrhoeae, divided into acute, chronic, epididymitis, nearly a decade of the original of chlamydia has become a major pathogens, Mycobacterium tuberculosis infection have growth trend. Acute epididymitis: This disease more than radical, general malaise, high fever and symptoms of increased leukocyte few more occurred on the side, bilateral rare, leaving measuring scrotal, and the pain is more drama, radiotherapy to the same Ditch District and lower abdomen, scrotal swelling, skin red, swollen epididymis checks left side and found obvious tenderness, early and testicular boundaries clear, seminal vesicle excess edema. Treatment: 　　 1, abscess, to incision and drainage, a few develop into testes should be held testicular infarction resection. 2, hold up the scrotum to alleviate pain, localized heat, spermatic closed. 3, antibiotics and analgesics, can take TCM Bi-12 bottles of synergy, the forefront of urinary-10 bottles secreted flu fried 60 bags, covered in rule 10 bottles. Chronic epididymitis: common part of clinical practice for patients with acute epididymitis lesions results, but the majority of patients with acute exacerbation history, and often have chronic prostatitis, a small number of patients with recurrent acute, chronic epididymitis generally no obvious symptoms, clinical performance quite inconsistent, there are local discomfort flu, scrotal pain, radiation ipsilateral to the thigh and lower abdomen, the left side checks can be touched epididymis swelling, tenderness and mild testicular boundaries clear, spermatic cord enlargement without vas deferens, two - fine side Epididymitis cause obstruction, which led to male infertility. Treatment: 1, hold up the scrotum, local heat dissipated to promote inflammation. 2, the Central Bank fur PGA closure of the program, every other day, a total of seven times. 3, the author repeatedly feasible ipsilateral vasectomy or epididymis resection. 4, take TCM: Collaborative Yat No.1 10 bottles, indomethacin 100, covered in rule 10 bottles forefront of urinary-10 bottles Wenshen clearance Pill 10 bottles. For chronic intractable Epididymitis caused by road obstruction caused by fine without epididymal sperm feasible molding (vas deferens with a sperm pool anastomosis), the deferred who Epididymitis additional Huayu soup 60 sacks, a word that the disease can be cured , but bear in mind that in the acute phase of infection control at the same time, to protect the spermatogenic testicular function, use of Wizard 10-20 bottles to prevent testicular atrophy, the spermatogenic damage system