What tests are needed to diagnose epididymitis

Patient's question:

I am a 30-year-old male. Last week, I noticed that my testicles were a bit red, but since there were no symptoms, I didn't take it seriously. Last night while taking a shower, I accidentally touched my testicles and felt some pain. When I touched them myself, it seemed like there was a lot of liquid inside. I am very scared. Please ask: What tests are needed to confirm epididymitis?

Doctor's answer:

1. Laboratory examination: Peripheral blood white blood cells can reach (2~3)×10^9/L. Urine discharge can be examined with staining or non-staining methods.
2. Ultrasound examination: It can reflect the swelling and inflammatory range of the epididymis and testis.
3. Magnetic resonance examination: Epididymitis can be diffuse or focal. On T2-weighted images, the signal of the epididymis may be the same as or lower than that of the testis. Epididymitis can be relieved, but the treatment period is generally long, and it is prone to recurrence after treatment. Therefore, it is essential to actively cooperate with the doctor's treatment, take medication appropriately, and avoid prolonged sitting or riding. Additionally, patients should pay attention to personal hygiene. We hope male patients can recover quickly!

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