Patient's question:
Checked for epididymitis, the main symptom is testicular pain, a sense of heaviness and fullness, and feeling tired and lacking energy. What are the methods for confirming a diagnosis of epididymitis?Doctor's answer:
Epididymitis is a non-specific infection of the male reproductive system, most commonly occurring in middle-aged and young adults. The causative pathogens typically enter the epididymis through the vas deferens, leading to inflammation. Lymphatic and hematogenous infections are rare, so epididymitis is often a sequelae of urethritis or prostatitis and seminal vesiculitis. Epididymitis presents with high fever, chills, and testicular pain; local symptoms include scrotal redness and swelling, as well as testicular enlargement. Laboratory tests may show a decrease in white blood cells. Due to limited information about your specific condition, it is not possible to make a definitive diagnosis. It is recommended to visit a urology hospital for thorough examination and to develop a targeted treatment plan.Acute epididymitis occurs suddenly, with high fever, white blood cell decline, and persistent swelling and a heavy sensation in the affected scrotum. Pain may radiate to the lower abdomen and inguinal region, intensifying during standing or walking. The affected epididymis is enlarged and exhibits significant tenderness.