Treatment
When it comes to treating epididymitis, the most common approach is to administer antibiotics if the condition is caused by bacteria. In situations where the infection is a result of a sexually transmitted infection (STI), it is crucial to inform and treat the patient’s sexual partners as well. While certain symptoms may improve within a few days of starting antibiotics, it may take several weeks for the pain and swelling to completely subside. To alleviate discomfort, patients can try various comfort measures such as applying ice packs, taking pain medication, and getting plenty of rest. However, if the infection progresses into an abscess, surgical intervention may be necessary to drain the affected area.
Follow-Up
After receiving initial treatment for epididymitis, it is important to have follow-up evaluations to ensure that the condition is responding well. In most cases, these evaluations can be done on an outpatient basis and should take place within one week of starting treatment.
For children who are younger than 14 and have been diagnosed with epididymitis, a referral to a urologist may be necessary. This is to rule out any potential anatomical abnormalities that could be contributing to the condition.
On the other hand, for men who are older than 50 and have been diagnosed with epididymitis, it is crucial to be evaluated for an enlarged prostate. This is because an enlarged prostate can increase the risk of developing epididymitis and may require additional treatment or management.