Epididymitis is the most common infectious disease of scrotum, which often occurs in young adults. Bacteria mostly spread from infected urine, prostate, posterior urethra and seminal vesicle to epididymis through vas deferens. Patients with prostate surgery and indwelling catheter are also prone to epididymitis, and urine flowing back to the vas deferens during urination can also lead to epididymitis.
If children have recurrent epididymitis, the possibility of ureter opening to seminal vesicle should be considered. The common bacteria causing epididymitis are Escherichia coli, Staphylococcus, Mycobacterium tuberculosis, Neisseria gonorrhoeae and Chlamydia.
Because epididymis is the place where sperm mature and store, it plays an important role in fertility. Bilateral epididymal lesions can lead to infertility.
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12) epididymectomy
Chronic epididymitis is mostly caused by acute epididymitis, with different clinical symptoms, some of which are only mild pain, swelling pain and induration. Chronic epididymitis often recurs, affecting study, work and life. Therefore, cases of recurrent epididymitis can be considered for epididymectomy.
In addition, chronic epididymitis (local pain or induration) that cannot be cured for a long time also has surgical indications.
There are two physiological functions of epididymis: first, the secretion participates in the composition of semen, nourishes sperm, promotes sperm to continue to develop and mature, and makes it more energetic. The second is to store sperm. During sexual intercourse, semen and sperm are excreted through the ejaculatory duct and urethra through ejaculation.
If there is no sexual life, sperm will gradually die and be absorbed by epididymis.
Sex hormone is the material basis of sexual desire and sexual excitement, and testis is the basis of secreting sex hormone testosterone. Both the brain and spinal cord have sexual excitement centers. Penile erection is a complex reflex. When sexual stimulation excites the cerebral cortex center through vision, hearing and touch.
Then the exciting signal is transmitted to the spinal cord, so that the spinal cord can control the excitement of the genital erection center, dilate the penile artery, make the cavernous body congested, and cause erection. Thus, the brain plays a key role in controlling and dominating penile erection.
Even if bilateral epididymis resection, as long as there is no damage to the nervous system and no psychological obstacles, there will be no problem with penis erection and impotence.
In addition, if one epididymis is removed, the function of the contralateral testis, epididymis and vas deferens will be normal, and it will not affect fertility. However, if bilateral epididymis is excised, or the epididymis is still abnormal, it may affect fertility.
13) therapeutic effect
1. cured, symptoms disappeared, white blood cells were normal, testis did not atrophy, and hydrocele did not exist.
2. Get better. The symptoms improved, the testicles were slightly larger and there was tenderness.
3. The unhealed symptoms and signs have not improved, and testicular swelling may atrophy or form testicular abscess and hydrocele.
14) health care measures
1. Patients with sexually transmitted diseases should be treated in time and treated in a regular hospital to avoid drug abuse, resulting in drug resistance or complicated infection and epididymitis.
2. In the acute phase, stay in bed, drink plenty of water, and hold up the scrotum with a cloth belt to reduce the swelling of the scrotum.
3. Cold compress can be used in acute phase and hot compress can be used in chronic phase.
4. Red bean or mung bean soup has the effect of clearing away heat, promoting diuresis and detoxifying, and regular drinking is helpful to the recovery of this disease.
5. Avoid sexual intercourse before healing, so as not to cause epididymal congestion and edema and aggravate the condition.
Love tip: Please consult the local regular (Chinese medicine) hospital for the above drugs, and choose according to the physiological characteristics and different pathological conditions.
If the above answer is satisfactory. Please don't live up to my kindness and adopt it as an answer in time.