Patient's question:
Recently, I've always felt pain in my testicles, and this week I've also had a fever. Usually, I feel cold, and when I take a bath, I touch my testicles and feel like there's a lot of liquid inside. Please ask: Which hospital is better for treating epididymitis?Doctor's answer:
Epididymitis is a common disease among infections of the male reproductive organs, predominantly affecting 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; instead, they are often secondary to prostatitis, seminal vesiculitis, or urethritis. The inflammation is usually 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 stage, loss of the boundary between the epididymis and testis in the later stage, adhesion of the skin to the epididymis, and even the recurrence of sinuses. The latter involves 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 satisfactory results with simple anti-inflammatory therapy alone, so it is generally recommended to use antibiotic iontophoresis and seminal vesiculoplasty.