Patient's question:
I feel like I might have epididymitis. I noticed that the skin on my testicles is particularly red and seems a bit swollen. It also hurts when I touch it. These symptoms have persisted for a week without any improvement. I'm still young and haven't even been married yet. I'm really scared. Could you please tell me what to do if I have male epididymitis?Doctor's answer:
Any purulent sepsis can lead to acute purulent orchitis, and even result in testicular abscess. The causative pathogens are mostly Escherichia coli, Streptococcus, Staphylococcus, and Pseudomonas aeruginosa. In fact, the most common cause of purulent orchitis is infection that spreads from epididymitis, so it should actually be referred to as epididymo-orchitis. Hello. The treatment for orchitis, if testicular pain is not treated for a long time, can lead to male infertility. There are many causes of testicular pain. The end-stage of acute epididymitis is chronic epididymitis, which is irreversible. At this stage, symptoms may be less severe than those of acute epididymitis. Chronic epididymitis, due to fibrosis, causes the entire epididymis to harden, and under the microscope, scars are very prominent. The epididymal ducts are often seen to be poorly connected, and the tissue is infiltrated with lymphocytes and plasma cells.