Patient's question:
A few weeks ago, I had a cold, so I thought the fever and chills were caused by the cold. However, the fever didn't go down, and after checking at the hospital, the doctor said I had epididymitis. I don't know how I got this disease in the first place. I'm asking: How should epididymitis be treated in a relatively safe way?Doctor's answer:
To understand how to treat epididymitis, it is essential to have a certain understanding of the condition. Early epididymitis is a cellulitis that starts in the vas deferens 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 the microscope, tissue edema, neutrophils, plasma cells, and lymphocytes are observed infiltrating the area, 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 bilateral epididymitis occurs, it can result in infertility.