Therapy
In case of a bacterial inflammatory genesis of the pain of the vas deferens, antibiotic treatment must be used in most cases. The active ingredients used depend on the diagnosed germ and its resistance profile. In most cases, cephalosporins such as ceftriaxone or penicillins are used.
On the other hand, underlying syphilis responds best to the antibiotic metronidazole. The therapy can be accompanied by the administration of mild painkillers such as ibuprofen or paracetamol. Surgical therapy is usually indicated for structural changes such as cysts or abscesses. Pain after operations, such as vasectomy or hernia operations, usually requires, in addition to clarification of possible complications, only a consistent, temporary pain relief with suitable preparations, such as ibuprofen.
Prognosis
Overall, the prognosis for spermatic cord pain is good. This is especially true if the diagnosis is made and therapy is initiated early. However, if this is delayed, chronic inflammation can lead to adhesions of the spermatic cord, which, despite surgical repair, are often associated with significantly reduced or non-existent sperm transport.
If the inflammation originates from inflamed testicles (orchitis), in the longer term infertility can also occur here due to reduced sperm production. However, these progressions are rare thanks to the current possibilities of drug therapy.
