Patient's question:
Left testicle has been aching and swollen recently, with a sensation of heaviness. Could it be epididymitis? What methods are used to treat epididymitis?Doctor's answer:
Epididymitis is often caused by pathogenic bacteria such as Escherichia coli, Staphylococcus, or Streptococcus entering the epididymis through the vas deferens. Therefore, this condition is commonly secondary to posterior urethritis, prostatitis, or seminal vesiculitis, or it may recur after urethral instrumentation, leading to infection through a retrograde route. Acute cases primarily manifest as redness, swelling, and pain in the epididymis and testis. It is recommended that you seek medical treatment promptly. The methods for treating epididymitis include the use of antibiotics, blood-activating herbs, and surgical drainage. Surgical treatment and antibiotic therapy can be effective. It is advised to rest in bed as much as possible. If symptoms are severe, seek medical treatment and rest appropriately. Local measures such as cold compresses, physical therapy, and the use of scrotal supports can be applied. It is recommended to follow up for further evaluation.