Patient's question:
Recently, I have been experiencing frequent urination. Later, I gradually felt discomfort in my scrotum, with a sense of fullness and mild tenderness. Could you please ask the doctor how they usually treat patients with epididymitis?Doctor's answer:
Orchitis is more common in middle-aged and young adults and can be divided into acute orchitis and chronic orchitis based on the course of the disease. Acute orchitis is often caused by the spread of urinary tract inflammation, prostatitis, and seminal vesiculitis along the vas deferens to the epididymis. Hematogenous transmission is less common. Urethral instrumentation, frequent catheterization, and post-prostatectomy indwelling catheters are all predisposing factors for orchitis. If acute orchitis is not treated properly, it can progress to chronic orchitis. Acute orchitis should be treated with appropriate rest, antibiotics, and general analgesics. Local cold compresses, physical therapy, and scrotal suspension can be applied. If an abscess forms, it may require incision and drainage. Chronic orchitis is often associated with chronic prostatitis, so the treatment measures are generally the same as those for chronic prostatitis.