Patient's question:
I have no bad habits, but I was recently diagnosed with orchitis. Now, I feel constant pain in my testicles, and sometimes I also have high fever. I am really troubled. Could you please tell me how to treat epididymal swelling of unknown cause to improve it?Doctor's answer:
Epididymitis is a common disease among male genital organ infections, often occurring in middle-aged and young adults. Since the pathogenic bacteria are gram-negative bacilli and gram-positive cocci, it is also known as non-specific epididymitis. The causative organisms rarely spread through the bloodstream and lymphatic system; it is most often a secondary condition resulting from prostatitis, seminal vesiculitis, or urethritis. The inflammation is typically unilateral. It needs to be differentiated from epididymal tuberculosis and filariasis. The former is characterized by localized inflammation in the tail of the epididymis in the early stages, loss of the boundary between the epididymis and testis in the later stages, adhesion of the skin to the epididymis, and even the recurrence of sinuses. The latter is marked by thickening of the scrotal skin, and microfilariae can be detected in blood samples taken at night. The treatment of this condition often does not yield ideal results with simple anti-inflammatory therapy alone, so it is generally recommended to use antibiotic iontophoresis and seminal vesiculoplasty. For severe local symptoms that persist despite prolonged treatment, removal of the affected area may be considered. If accompanied by prostatitis or seminal vesiculitis, it should