Patient's question:
I am 23 years old, male, and have recently been experiencing discomfort in my testicles. I went to the hospital for a check-up, and the doctor said I have epididymitis. How is epididymitis treated?Doctor's answer:
Epididymitis is often caused by a secondary infection of the epididymis due to the retrograde transmission of prostatitis or seminal vesiculitis along the vas deferens, with hematogenous infection being rare. It is divided into acute orchitis and chronic epididymitis. The scrotum often exhibits pain, swelling, and a sensation of heaviness, with the pain potentially radiating to the lower abdomen and the same-side inguinal region. The affected epididymis becomes enlarged with mild tenderness, clearly demarcated from the testis, and the scrotal skin shows edema and redness. As the spermatic cord and vas deferens thicken, the prostate becomes hardened with fibrous nodules and other chronic prostatitis manifestations. Bilateral chronic epididymitis can lead to infertility. It is recommended that you visit the hospital for a follow-up examination to identify the cause and receive targeted treatment. During the treatment period, patients should adhere to a regulated diet, maintain a regular sleep schedule, actively participate in physical exercise, and regulate their physical and mental health while keeping personal hygiene to prevent bacterial invasion due to weakened immunity.