What could be the reason for testicular and epididymal pain with normal ultrasound results?

Patient's question:

I am a white-collar office worker, 32 years old. During the day, I sit at my desk and am very busy, so I rarely get up to move around. Because of this, I was recently diagnosed with orchitis. Now, I am in constant pain every day and don't know what to do. Could you please explain: Why does the pain in the testicle and epididymis not show any issues on an ultrasound?

Doctor's answer:

Testicular and epididymal pain can be caused by a variety of different reasons, with common causes including epididymitis, tuberculosis, fluid accumulation, varicocele, and epididymal cysts. It can also be caused by prostatitis or seminal vesiculitis. It may also be testicular pain with an unclear cause. Epididymitis is a condition that is difficult to recover from. Friends with this condition should maintain an optimistic attitude and face it with a positive mindset. Only in this way can they significantly boost their confidence in combating epididymitis and believe that recovery is certain.

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