What causes epididymitis?

Patient's question:

The duration of sexual activity was only 1.5 minutes, with testicular swelling and pain, fever, and severe heaviness. The examination revealed epididymitis. What are the causes of epididymitis?

Doctor's answer:

Epididymitis is often caused by pathogens such as Escherichia coli, Staphylococcus, or Streptococcus entering the epididymis through the vas deferens in reverse. 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 reverse pathway. 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. Epididymitis can be stabilized, but the treatment process is generally slow, and the condition is prone to recurrence after treatment. Therefore, it is essential to actively cooperate with your doctor's medication plan during treatment.

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