Acute epididymitis - inflammation of the epididymis.
Chronic epididymitis called inflammation of the epididymis, which lasts for 6 months or more.
Causes
- The acute form often occurs after transurethral diagnostic and therapeutic measures.
- Urethritis or prostatitis may be complicated by epididymitis.
- Viral epididymo being complication pig (mumps). In adolescents, this condition develops in 20-40% of cases and can lead to testicular atrophy, and sometimes male infertility.
- The emergence of acute epididymitis may precede violation urinary outflow caused by BPH or narrowing of the urethra.
- Tuberculous form is a form of genitourinary tuberculosis, occurs in the propagation of the bloodstream infection.
manifestations of epididymitis
- Pain and swelling of the scrotum;
- Frequent urination;
- Urethral.
Diagnostics
- Microscopy discharge from the urethra;
- Bacteriological analysis of various fractions of urine;
- Clinical blood test;
- US scrotum, the study of blood flow (Doppler);
- Radioisotope study;
- Tsistoureteroskopiyu.
treatment of epididymitis
For treatment epididymitis developed many different approaches and methods, both conservative and surgical. It is common today is conservative expectant management. It comes down mainly to antibiotic therapy, ensuring peace by immobilizing the scrotum (suspension), conduct anti-inflammatory therapy, the use of novocaine blockade, the local application of cold in the early stages of the disease, immunokorregirujushchej therapy. Physiotherapy is recommended after decreasing the activity of the inflammatory process.
Surgical treatment of epididymitis involves decompression of the epididymis and drainage of the scrotum. Absolute indication for surgery are only purulent-destructive forms epididimoorhita.
The Institute of Urology MZ RF successfully and widely used indirect electrochemical oxidation (NEHO) blood in the combined treatment of acute epididymitis. NEHO blood is administered intravenously in 0.06% sodium hypochlorite solution having versatile action: disaggregation, anticoagulant, anti-hypoxic, bactericidal effects, the ability to stimulate cell-mediated immunity and phagocytosis, corrected metabolic acidosis (F. Shakir et al., 2004).
Chronic epididymitis causes sclerosis, degenerative changes in the epididymis, vas deferens patency, thereby developing infertility.
prevention
Prevention of epididymitis is primarily the responsibility of a healthy lifestyle, timely and adequate treatment of infectious (septic) diseases in other organs.
Prevention of relapse of epididymitis is the dynamic observation of the patient after the treatment course completion: 1 every 6 months for 3 years, you need to consult a urologist. When you visit the doctor necessarily carried ultrasound urinary organs, the general analysis of urine and prostatic secretions. Important role in the prevention belongs adequate antibiotic therapy, including after transurethral instrumental interventions and operations.
An important method of preventing development of inflammatory complications in the implementation of endoscopic surgery It is the widespread use of local prevention special gels containing bactericidal and bacteriostatic Components.