Will You be Infertile after Epididymitis Surgery?

Date:2022-11-25 click:
Epididymitis is an inflammatory lesion of the epididymis caused by a bacterial or viral epididymis infection, manifesting as an epididymis enlargement and a painful sensation. Generally, epididymitis caused by bacterial infection has little effect on fertility if treated in time. If the abscess is formed due to untreated epididymitis, especially bilateral epididymal abscesses, it will have a greater impact on fertility and may cause sterility in serious cases. 
 

In the case of bilateral epididymitis caused by a mumps virus infection, the mumps virus will cause the epididymis and testicles to become soft and atrophy, so it will have a greater impact on fertility. Surgical removal of epididymitis usually does not affect fertility, but if left untreated, it will affect fertility.
 
Epididymitis is one of the common reproductive infections in the male reproductive system. The testes are an essential part of the male body, where semen is produced and stored. Once there is epididymitis, it may cause certain damage to male semen and sperm, the most serious may be male infertility. Epididymitis poses a great threat to male reproductive health and is one of the important causes of male infertility. Therefore, it is imperative to prevent epididymitis.
 
Will fertility be affected after surgical treatment of epididymitis?
 
In clinical practice, this situation needs to be analyzed according to specific circumstances. 
 
First, if it is due to the ineffectiveness of antibiotic treatment and the suspicion of testicular ischemia, the epididymal incision decompression operation can relieve the symptoms, which will not affect fertility. 
 
Secondly, if the inflammatory mass of epididymitis increases and fluctuates, it means that an abscess is formed, and timely incision and drainage will relieve the symptoms, which will not affect fertility. 
 
Furthermore, if testicular infarction occurs and orchiectomy is performed, and the lateral testicle is normal, fertility will not be affected. Of course, if the orchiectomy damages the function of the epididymis of the side testicle, fertility may be affected. 
 
Finally, epididymectomy can be considered for patients with recurrent episodes of chronic epididymitis. Of course, if the epididymis of the opposite testicle is normal, it will not affect fertility. So whether epididymitis surgery can affect fertility needs specific analysis.
 
In addition to surgery, what treatment options are available to patients?
 
1. General treatment
 
It is common to rest in bed, and scrotal support can be used to reduce the symptoms. It is recommended that you make your own larger scrotal rest with cotton pads, which will be more comfortable. Patients with strong pain symptoms can use painkillers and local heat therapy to relieve symptoms and promote inflammation subsidence. However, premature heat therapy is not recommended because it can worsen the pain. Ice can promote the spread of infection, and it is advisable to use ice packs to apply local heat in the early stages.
 
2. Use of antibacterial drugs
 
Choose medications that are more sensitive to bacteria on your doctor's advice. After a week to two weeks of intravenous administration, you can take oral antibacterial drugs for 2 to 4 weeks, which can have a preventive effect to prevent the transformation into chronic inflammation.
 
3. Traditional Chinese medicine treatment
 
Traditional Chinese medicine Diuretic and Anti-inflammatory Pill has the effect of clearing heat and dampness, soothing liver and Qi, and detoxifying carbuncle. It can quickly relieve scrotal pain, eliminate epididymal inflammation and restore the normal shape and function of the epididymis to completely cure epididymal inflammation.
 
Generally speaking, surgical treatment has no adverse effects on the body. However, if conservative treatment is ineffective and surgical treatment is not taken in time, it will only lead to aggravation of the disease and affect fertility and physical health. Epididymitis is a common disease in clinical urology, which is caused by inflammatory infection. If treatment with anti-inflammatory drugs is ineffective, surgery is needed in time.
 
 
Recommended Readings:
 
When is Surgery Required for Epididymitis?
Testicles Hurt with Pinching after Epididymitis is Cured; Why?
Under What Conditions Will Epididymitis Pain Aggravate?

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