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 the other side seems to be swollen as well. I'm very worried. Could you please tell me: How is it best to treat epididymitis?Doctor's answer:
Generally, epididymitis is caused by inflammation of the urinary and reproductive systems spreading backward along the vas deferens or transmitted through the lymphatic and blood systems. It can also be secondary to prostatitis or urinary tract infections. Non-bacterial urine reflux into the ejaculatory duct can lead to chemical epididymitis. Recent studies have found that urine can reflux into the seminal vesicles. The harm of epididymitis is also significant, including infertility and impact on sexual quality. Currently, for your condition, relevant tests need to be conducted, including a prostate examination and a semen analysis, to determine the presence of prostatitis and fertility.