How can I treat chronic epididymitis?

Difficult problem. Chronic epididymitis is difficult to treat as the cause is unknown, and there haven't been enough studies to determine the best treatment. Antibiotics usually don't help and there is varying success with NSAIDS and other medications. Removal of the epididymus has cured the pain in many, but not all, patients. Nevertheless, there is a 60-90% chance it will cure the pain.Get more urological opinions.
Medications. This is generally initially treated with appropriate antibiotics and anti-inflammatory medications such ibuprofen. Other treatment measures include a sitz bath and wearing a scrotal support.

Related Questions

Should masturbation be avoided when being treated for chronic epididymitis and prostatitis? 4 week long course of antibiotics.

Prostatitis and sex. Yes. Part of the treatment regimen is to reduce the activity of the prostate. And ejaculation requires prostate participation. So sexual activity best be reduced during the treatment period. Read more...

When I sit down, my spermatic cord turns really dark and painful. I suffer from chronic epididymitis. What is going on?

See a urologist. I don't understand how you could see your spermatic cord or localize the pain to that structure. I'm also not sure what you mean by chronic epididymitis. Maybe you should see a urologist. Read more...

What do you do if you have a severe flare up of pain from chronic epididymitis and cannot get ahold of your urologist?

Go to ER. If having a severe flare up of pain, you need to be seen. You can go to your er and also have them contact the doctor on call for your urologist. The pain may or may not be related to your previous complaint -- and there are some very urgent other causes for testicular pain. Be safe. Read more...

Can you please tell me the percent of men that become completely infertile following severe bilateral chronic epididymitis? Any reference would help.

Depends. Infertility is not usually so black and white. Severe bilateral chronic epididymitis will certainly increase your risk for infertility above the usual 15% risk. How much will vary widely. It is possible it could obstruct the tubes that allow the sperm to leave the body and can also affect testicular functions like sperm and hormone production. It is important that this be treated now. Best of luck. Read more...
Low. Most men recover from epididymitis and do just fine. And, it's the acute (not chronic) and bacterial (yours?) epididymitis that causes obstruction. Read more...

What is the prevalence of testicular damage/infarction in chronic epididymitis?

Not. That common, but certainly needs to be discussed with your urologist for a more specific answer related to you not the population in general. Read more...

Wanted to know if anyone has had experience with an epididymectomy for chronic epididymitis or for post vasectomy problems?

Yes, ... For intractable pain with identifiable tenderness and induration in epididymis, epididymectomy can be done for pain relief after properly counseled and examined with realistic expectation. For post-vasectomy pain, vasectomy reversal has been proposed to effectively relive its pain for many. More? Contact me at www.HealthTap.com/dr-Lin with RQPWJC to log in for appointments. Best wish to health... Read more...

My testicular length has shrunk from 5 to 3.4 cm. How can I reverse this? I do not use steroids but have chronic epididymitis of unknown etiology.

Testicular size. There is nothing you can do to increase the size of your testicles. My biggest concern is why you have chronic epididymitis at age 21. Have you been exposed to std's? Have you had mumps? I would recommend a urological workup to rule out other possible causes of your problem. Read more...

Very high c-reactive protein but very low ESR (4), ordered for chronic epididymitis. How can inflammation markers differ so much? Male, 21 years old.

See below. It's a good question. The CRP is considered more specific for inflammation or infection in the body. There are many factors that can affect the sed rate and make its results unreliable. Read more...
They do. You certainly have asked many questions about scrotal issues recently and i hope you have gone in for an exam to have your questions answered. These markers are not specific to pathology of the scrotum and it is difficult to make any conclusions based on those numbers alone. Read more...
Different. Different inflammation markers react differently to different things. Consider finding a holistic or integrative medicine physician or nd who will help you get to the bottom of things. Read more...