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Suggest treatment for epididymo-orchitis

Answered by
Dr.
Dr. Sandip Kabra

General & Family Physician

Practicing since :2009

Answered : 3078 Questions

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Posted on Mon, 13 Apr 2015 in General Health
Question: I have epididymitis orchitis since 4 years (before marriage, no sexual intercourse of any kind done with anyone) with no change in swelling. there's no pain or problem, only the swelling on 1 testes remains.
doctor
Answered by Dr. Sandip Kabra 2 hours later
Brief Answer:
It might be infective,inflammatory or obstructive.

Detailed Answer:
Hi,
You might have a condition termed as a chronic epididymo orchitis.

The etiology of this condition can be associated with inflammatory(granulomatous epididymitis),infective(bacterial,chlamydia)or obstructive (obstruction to vas deferens) factors or repeated urinary tract infections.However,in many cases,no etiology can be identified.

you may need to get an ultrasound scan of scrotum done.
This will show the exact nature of the problem that you have.
This can be followed up with a visit to the urologist.

In most patients,scrotal support,local heat therapy,and avoidance of aggravating activities can help many patients.

Medical treatment often includes pain killers, steroids, antibiotics.

Surgical treatment (epididymectomy) is done in those who do not respond to medical line of management mainly in symptomatic cases.

Consult urologist for complete medical history and thoroughly clinical examination.

Thanks and Regards,
Dr.Sandip kabra

Above answer was peer-reviewed by : Dr. Raju A.T
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