Patient's question:
Got epididymitis, the medicine has worked, but it keeps coming back and back. It's just a little uncomfortable. The hospital did a color ultrasound and found no obvious abnormalities in the testicles, epididymis, or spermatic cord. I know what to do now. How should I take care of the swollen epididymis?Doctor's answer:
Epididymitis is a common disease among male reproductive organs, prevalent in middle-aged and young adults. The causative bacteria are gram-negative bacilli and gram-positive cocci, termed non-specific epididymitis. The bacteria rarely spread through the bloodstream and lymphatic system. It is often secondary to prostatitis, seminal vesiculitis, or urethritis. The symptoms are usually unilateral and need to be differentiated from epididymal tuberculosis and filariasis. In the early stage, the inflammation is localized to the tail of the epididymis. As the disease progresses, the boundary between the epididymis and the testis disappears, and the skin often adheres to the epididymis, leading to the formation of sinuses. The patient's scrotal skin may thicken, and microfilariae can be detected in the blood. Treatment with general anti-inflammatory therapy alone often yields unsatisfactory results. It is generally recommended to use antibiotics with iontophoresis locally and seminal vesiculoplasty.