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How Can Chronic Inflammation In Epididymis Be Treated?
Had penetrative rectal unprotected twice in a gap of a week. Symptoms like Large voluminous uncontrolled ejaculation and painfull ejaculation appeared after a month with regular masturbation. Culture showed E coli scanty growth in semen sensitive to cefuroxime and sterile urine Followed by 14 days of zocef cv500mg Second culture showed Ecoli and enterococcus in both urine and semen 1lakh colonies resistant to cefuroxime but sensitive to amakacin and lizolid Followed by ampicillin 250mg lizolid 600mg every 12 hours for 5 days Culture after 2 days of course showed ecoli scanty in semen & klebsiella scanty in semen both sensitive to nitrofurantoin moderately. Followed by a disontinuation of antibiotics for a week epidydimitis and pain worsened Prescribrd with niftran 100mg twice a day and prostrate massage once a day for 10days no improvements but epidydimitis worsened and uti symtoms reoccoured Latest ulture showed klebsiellae heavy growth in semen and urine ecoli in semen scanty growth From two months chronic inflamation in epidydimis and sperm carrying duct With tenderness and pain in genitals and surroundings. In bed rest from one month Now prescribed with 3gm antibiotic for 5 days every 24 hours Which is the best way to treat chronic reoccouring symtomatic complicated bactrrial seminal and uti to comleyely cure it and retain fertility
You may have chronic or recurrent epididymitis and cyst may be a predisposing factor.
This may be very difficult to diagnose and ultrasound may not be accurate enough.
So it would be good to do MRI of testicles or scintigraphy. It will show us the possible location of the inflammation.
If there is chronic epididymitis then the longer course of antibiotics may be required and in some cases, surgical excision of the cyst may be a permanent solution. It would be also good to do complete STD-panel testing.
Hope I have answered your query. Let me know if I can assist you further.
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How Can Chronic Inflammation In Epididymis Be Treated?
Hi, You may have chronic or recurrent epididymitis and cyst may be a predisposing factor. This may be very difficult to diagnose and ultrasound may not be accurate enough. So it would be good to do MRI of testicles or scintigraphy. It will show us the possible location of the inflammation. If there is chronic epididymitis then the longer course of antibiotics may be required and in some cases, surgical excision of the cyst may be a permanent solution. It would be also good to do complete STD-panel testing. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon