The epididymis plays a vital role in the male reproductive system. Inflammatory infections can give rise to a condition known as epididymitis. In some cases, as epididymitis progresses and inflammation subsides, scarring nodules may develop. These nodules are hard to the touch and generally painless.
The development of induration in individuals with epididymitis is often the result of inadequate treatment of acute epididymitis, leading to the transition from an acute stage to a chronic condition. Chronic epididymitis, upon healing, can lead to the formation of induration, which is a normal occurrence. The longer a patient's illness persists, the greater the likelihood of induration. Extended inflammation in the epididymis can stimulate fibrous tissue proliferation and scar formation. Over time, this can result in the development of hard indurations.
Typically, indurations do not affect a patient's sexual and reproductive abilities, and as such, doctors often do not recommend treatment under normal circumstances. However, maintaining personal hygiene and avoiding repeated inflammatory stimuli is crucial, as repeated inflammation can worsen the patient's condition and potentially lead to complications that may affect fertility. If uncomfortable symptoms arise, it is advisable for the patient to seek prompt medical attention and follow the doctor's guidance, which may include antibiotic treatment.
Epididymal induration can present as chronic inflammation, where acute pain is not a primary symptom, but inflammation may recur, especially in cases of weakened immunity. Inflammatory nodules in epididymitis can also lead to blockages in the epididymal duct or vas deferens, potentially resulting in unilateral vas deferens obstruction that affects semen quality or quantity.
For mild cases of induration, traditional Chinese medicine can be an effective treatment. Herbal remedies, such as the Diuretic and Anti-inflammatory Pill, are administered orally. This treatment approach helps clear inflammatory infections and remove residual pathogens. Specific herbs in the formula invigorate blood circulation, remove blood stasis, soften hard lumps, and dispel nodules, promoting vitality and pain relief. Over time, these herbal treatments can lead to the gradual disappearance of induration. To enhance the therapeutic effect, patients can complement herbal medicine with hot water sitz baths, localized hot compresses, or physiotherapy.
Both epididymitis and induration are often related to hygiene and lifestyle habits. Common induration arises from bacterial infections that were not promptly and effectively treated. To promote healing, it is crucial to avoid activities like masturbation, practice good personal hygiene, maintain a light diet, and use hot compress therapy in daily life.
For cases of epididymitis and induration with recurrent inflammation, there may be concerns about malignant transformation. In addition to anti-inflammatory treatment, addressing malignant epididymal induration may require surgical resection for complete eradication. Patients should not hesitate to seek timely treatment for this condition.
In situations where the induration is sizable and drug treatment proves ineffective, surgical removal may be an option. Following induration removal, patients should prioritize rest, lying down more and standing less, to prevent epididymal congestion and worsened edema.
