Patient's question:
For a while now, my testicles have been slightly swollen and aching. Recently, they've started to hurt, especially when touched, and it's particularly severe. It seems the other side is also somewhat swollen. I'm very worried. Could you please explain: What causes epididymitis?Doctor's answer:
Epididymitis is commonly caused by the spread of prostatitis and seminal vesiculitis along the vas deferens to the epididymis. Hematogenous transmission is less common. Frequent urethral instrumentation, catheterization, prostatectomy, and indwelling catheters are all predisposing factors for epididymitis. If acute epididymitis is not treated promptly, it can develop into chronic epididymitis. The main external cause of transmission is the unreasonable design of traditional men's underwear on the market. Most men's underwear is double-layered, tightly wrapping the penis and scrotum together, creating a warm and moist environment for the penis and scrotum. This provides a breeding ground for bacteria and other microorganisms, making it easier to develop prostatitis and subsequently epididymitis. It is often overlooked that epididymitis can be stabilized.