Patient's question:
My mental state hasn't been very good recently, and I'm not sure why. Could you please ask: How should I be diagnosed and treated if I have epididymitis?Doctor's answer:
Epididymitis is a common disease among male genital organ infections, primarily affecting middle-aged and young adults. Since the pathogenic bacteria are gram-negative bacilli and gram-positive cocci, it is also known as non-specific epididymitis. The causative organisms rarely spread through the bloodstream or lymphatic system but are often secondary to prostatitis, seminal vesiculitis, or urethritis. The inflammation is usually unilateral. It needs to be differentiated from epididymal tuberculosis and filariasis. The former is characterized by localized inflammation in the tail of the epididymis in the early stages, with the boundary between the epididymis and testis disappearing later, often accompanied by adhesion of the skin to the epididymis, or even the recurrence of sinuses. The latter involves thickening of the scrotal skin, and microfilariae can be detected in blood samples taken at night. The treatment of this condition often does not yield satisfactory results with simple anti-inflammatory therapy alone, hence antibiotics are often recommended for local iontophoresis and seminal vesiculoplasty. For patients with severe local symptoms that do not improve with prolonged treatment, surgical removal may be considered.