Patient's question:
For a while now, my testicles have been slightly swollen with a dull ache. Recently, they've started to hurt more, especially when touched, and it feels particularly intense. It seems there's also some swelling on the other side. I'm very worried. What should I do if I have epididymitis?Doctor's answer:
Hello: Epididymitis is a non-specific infectious disease of the male reproductive system, commonly seen in middle-aged and young adults. The pathogen usually enters the epididymis through the vas deferens, causing inflammation. It is rare for epididymitis to be transmitted through the lymphatic or bloodstream. Therefore, epididymitis is often a sequel to urethritis or prostatitis and seminal vesiculitis.Epididymitis presents with high fever, chills, and testicular pain; local swelling of the scrotum, enlargement of the testis, and laboratory tests showing a decrease in white blood cells. Epididymitis can be acute or chronic, and the treatment plan varies depending on the severity of the condition. Acute epididymitis generally does not respond to medication and may require surgical removal. Chronic epididymitis should be treated with scrotal support and local cold compresses to promote inflammation reduction.
I do not fully understand your specific condition, so it is recommended to undergo a thorough examination before formulating a targeted treatment plan.