Patient's question:
Recently, I've 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 to treat epididymitis effectively?Doctor's answer:
To understand how to treat epididymitis, it is necessary to have a certain understanding of epididymitis. Early epididymitis is a cellulitis that starts in the efferent ductules and spreads to the tail of the epididymis. During the acute phase, the epididymis swells and becomes hard, and the infection spreads from the tail to the head of the epididymis. On pathological sections, small abscesses can be seen, and the tunica vaginalis often exudes a large amount of serous fluid (inflammatory epididymal hydrocele). Under the light microscope, tissue edema, neutrophils, plasma cells, and lymphocytes can be observed infiltrating, followed by the formation of abscesses. The epithelium shows pyknosis, and the inflammation can be completely resolved, but fibrosis around the epididymal tubules often leads to lumen obstruction. If it is bilateral epididymitis, it can cause infertility.