Patient's question:
Recently, I've been feeling a lot of pain in my testicles, and this week alone, I've had a fever twice. I usually feel cold, and when I take a bath, I notice that my testicles seem to have a lot of liquid inside. Please ask: How is epididymitis best treated?Doctor's answer:
Epididymitis is a common disease among infections of male reproductive organs, often occurring in 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 and lymphatic system but are more commonly secondary to prostatitis, seminal vesiculitis, or urethritis. The inflammation is usually unilateral. It needs to be differentiated from epididymal tuberculosis and filariasis. In the former, early inflammation is localized to the tail of the epididymis, and later, the boundary between the epididymis and the testis disappears, with the skin often adhering to the epididymis, even leading to recurrent sinuses. In the latter, the scrotal skin becomes thickened, and microfilariae can be detected in blood samples taken at night. The treatment of this condition is often not effective with simple anti-inflammatory therapy alone, so it is generally recommended to use antibiotic iontophoresis and seminal vesiculoplasty.