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. Could you please advise on how to safely treat epididymitis?Doctor's answer:
Epididymitis can be caused by long-term indwelling catheters, phimosis, urinary tract infections, urethral dilation, and other factors such as unsafe sex.Clinical symptoms include sudden onset, recurrent localized pain in the epididymis, which can radiate to the groin and lower back. Physical examination reveals uniform mild atrophy, thickening, and hardness of the epididymis, with clear boundaries to the testis and no adhesion to the skin. The vas deferens is usually normal or slightly hardened.
It is recommended that you undergo a thorough examination and follow medical advice for treatment, eliminating the underlying cause. Pay attention to hygiene of the external genitalia, avoid spicy and irritating foods, quit smoking and alcohol, and ensure adequate rest. Wishing you good health!
Epididymitis tends to recur, requiring long-term medication. For male patients, it is important to seek treatment at professional and reputable hospitals promptly. Treatment should be considered based on examination results.