Patient's question:
Continuous high fever, and I'm particularly afraid of cold. At first, I thought it was just a cold, but then I noticed my testicles were getting more and more painful, and when I touched them, it felt like there was water inside. I went to the hospital for a check-up and was diagnosed with orchitis. Please ask: How is the treatment for epididymitis much more effective?Doctor's answer:
How to treat epididymitis requires a certain understanding of the condition. Early epididymitis is a cellulitis that starts in the ejaculatory duct and spreads to the tail of the epididymis. During the acute phase, the epididymis becomes swollen and 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). This fluid may contain pus, the spermatic cord may become thickened, and the testis may develop secondary congestion and edema, but it generally does not recur. Under light microscopy, tissue edema, neutrophils, plasma cells, and lymphocytes are infiltrated, followed by the formation of abscesses. The epithelium shows pyknosis, and the inflammation can be completely absorbed, but fibrosis around the epididymal tubules often leads to lumen obstruction.