Patient's question:
Left testicle has been aching and swollen recently. Could you please help me understand what this might be? How is it better to treat epididymitis?Doctor's answer:
Epididymitis is often caused by a secondary infection of the epididymis due to the retrograde transmission of prostatitis or seminal vesiculitis along the vas deferens, with hematogenous infection being rare. It is divided into acute epididymitis and chronic epididymitis. The scrotum often experiences pain, swelling, and a sensation of heaviness, with the pain potentially radiating to the lower abdomen and the opposite inner thigh. The affected epididymis becomes enlarged with mild tenderness, clearly demarcated from the testis, and the scrotal skin shows edema and redness. It may also be accompanied by thickening of the spermatic cord and the vas deferens, as well as hardened prostate with fibrous nodules and other chronic prostatitis symptoms. Bilateral chronic epididymitis can lead to infertility. It is recommended that you go to the hospital to identify the specific cause and receive targeted treatment!