Rehabilitation of Acute Epididymitis with Kuyalnik Therapeutic Mud

Rehabilitation of patients with acute epididymitis at Kuyalnik Sanatorium focuses on preventing atrophic changes in the testicle and its epididymis, especially during the phase of activation of connective tissue and scarring processes. The therapeutic mud of Kuyalnik has potent anti-inflammatory and anti-edematous properties, which help reduce the inflammatory process and improve the patient's condition.

Causes and Symptoms of Acute Epididymitis

Acute epididymitis often arises as a complication of urethritis and prostatitis or due to trauma. The infection can spread retrogradely or hematogenously. The main symptoms of acute epididymitis include:

• High body temperature.
• Enlargement and hardening of the epididymis.
• Sharp pain, redness, and swelling of the scrotal skin.
• Pain radiating along the spermatic cord, which can be thickened, hardened, and painful on palpation (funiculitis).

Inflammation of the epididymis often leads to blockage of its ducts for sperm, which can subsequently cause oligospermia, azoospermia, male infertility, and erectile dysfunction.

Key Benefits of Mud Therapy

The therapeutic mud of Kuyalnik Sanatorium has several beneficial properties that positively affect the body:

• Anti-inflammatory Action: Weakens the barrier properties of the inflammation focus, reduces the formation of connective tissue.
• Anti-edematous Action: Reduces tissue permeability and exudative component of inflammation.
• Stimulation of Hormonal Activity: Increases the synthesis of glucocorticoids and the amount of free hormones.
• Improvement of Metabolism: Enhances intracellular steroid metabolism, halting collagen destruction.

Treatment Course

Patients with acute epididymitis are prescribed a treatment course that includes:

• Mud Applications in the Form of "Briefs": Temperature 40-42 °C, exposure time 20 minutes, every other day (10 sessions).
• Mud Rectal Tampons: Temperature 38-42 °C, exposure time 20 minutes, every other day.
• Therapeutic Brine Baths: General and local, which improve microcirculation and stimulate recovery processes.

These procedures promote the restoration of spermatogenic function, prevent sclerosis of the epididymis and testicle, and maintain the patency of the spermatic ducts.

Treatment Effectiveness

The effectiveness of the treatment is assessed by the following parameters:

• Clinical Manifestations: Reduction of pain syndrome, normalization of body temperature reaction.
• Laboratory Tests: Blood tests, urine tests, prostate secretion analysis, spermogram.
• Cytochemical and Bacteriological Studies: Evaluation of the inflammatory process and bacterial load.
• Ultrasound of the Testicles and Epididymis: Monitoring the condition of the organs over time.

Treatment Results

• Bacteriological Studies: In the main group of patients, no pathogenic microorganisms were found after the treatment course, while in the comparison group, they continued to be detected in 33.3% of cases.
• State Normalization: In the main group, body temperature normalization occurred on the 3rd-4th day, and leukocyturia and pain syndrome disappeared on the 6th-7th day.
• Function Preservation: 90% of patients in the main group did not show oligospermia three months after the start of treatment, while in the comparison group, oligospermia was observed in 40% of patients.
• Absence of Atrophy: No testicular atrophy was detected in the main group, while in the comparison group, atrophy was observed in 40% of patients.

Comprehensive Treatment Approach

The comprehensive rehabilitation treatment for patients with acute epididymitis at Kuyalnik Sanatorium targets key pathological processes that contribute to destructive changes in the epididymis and testicle during the acute phase of inflammation, and connective tissue atrophic processes with impaired spermatogenesis during the regression phases of the inflammatory process. The use of medication in combination with physical factors (mud applications and rectal mud therapy) is effective and recommended for widespread clinical practice.

Kuyalnik Sanatorium offers a comprehensive approach to the treatment and rehabilitation of patients with acute epididymitis, utilizing the unique therapeutic properties of Kuyalnik estuary mud and brine. The treatment programs developed at the sanatorium aim for full health restoration and complication prevention, supported by high results and positive patient feedback.