How is the appendix of the testis treated?

Nov 14, 2024 Source: Cainiu Health
Dr. Cao Zhiqiang
Introduction
In general, testicular appendage torsion may be caused by cold stimulation, vigorous exercise or external forces, congenital anatomical abnormalities, varicocele, epididymitis, orchitis, or other conditions. Treatment may include keeping warm, reducing physical activity, and taking medications such as azithromycin capsules or levofloxacin tablets. If severe discomfort symptoms are present, prompt medical attention at a hospital is recommended.

In general, testicular appendage torsion may be caused by cold stimulation, vigorous exercise or external forces, congenital anatomical abnormalities, varicocele, epididymitis, orchitis, and other factors. Treatment options include keeping warm, reducing physical activity, and taking medications such as azithromycin capsules and levofloxacin tablets. If severe discomfort occurs, prompt medical attention is recommended. Detailed explanations are as follows:

1. Cold Stimulation

Cold stimulation may cause cremaster muscle spasms, leading to symptoms of testicular appendage torsion. It may also be accompanied by symptoms such as nausea and vomiting. Keeping warm and avoiding cold exposure are recommended.

2. Vigorous Exercise or External Force

Vigorous exercise, trauma, or sudden changes in body position may cause testicular appendage torsion. Symptoms may include swelling, nausea, vomiting, and pain. It is recommended to stop all physical activity immediately, rest in bed, and elevate the scrotum to help reduce edema and pain.

3. Congenital Anatomical Abnormalities

Anatomical abnormalities of the testes and epididymis, such as an overly long gubernaculum testis or excessively long spermatic cord, can increase the risk of torsion. Symptoms may include testicular swelling, nausea, vomiting, and fever. Surgical treatment options include epididymal deformity repair, orchidopexy, and inguinal incision procedures.

4. Varicocele

Abnormal dilation of the pampiniform venous plexus within the spermatic cord may lead to testicular appendage torsion. Symptoms may include swelling, nausea, and vomiting. Patients may take medications such as azithromycin capsules, sodium aescinate tablets, and citrus bioflavonoid tablets as directed by a physician.

5. Epididymo-orchitis

Epididymo-orchitis is usually caused by inflammatory stimulation. Inflammation and swelling may increase the risk of torsion. Symptoms may include fever, frequent urination, urgency, and hematuria. Patients may take medications such as ceftriaxone sodium for injection, metronidazole tablets, and levofloxacin tablets under medical guidance.

In daily life, if the above symptoms occur, timely treatment is recommended to facilitate complete recovery. During the recovery phase, excessive physical activity should be avoided, and a light, healthy diet is beneficial for recovery.

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