How to diagnose epididymitis?

Patient's question:

I don't know how I got acute epididymitis, but the current symptoms are pain in the right testicle, followed by discomfort in the groin area. How can epididymitis be diagnosed?

Doctor's answer:

Epididymitis is a non-specific infectious disease of the male reproductive system, commonly occurring in middle-aged and young adults. The pathogenic bacteria typically enter the epididymis through the reverse flow of the vas deferens, causing inflammation. Transmission via lymphatic and blood systems is rare. Therefore, epididymitis is often a sequel to urethritis or prostatitis and seminal vesiculitis. Epididymitis presents with high fever, chills, and testicular pain; local symptoms include scrotal redness and swelling, as well as testicular enlargement. Laboratory tests may show a decrease in white blood cells. Due to limited understanding of your specific condition, it is impossible to make a precise diagnosis. It is recommended to visit a urological hospital for thorough examination and the development of a targeted treatment plan. Acute epididymitis occurs suddenly, with high fever, white blood cell decline, and persistent swelling and a heavy sensation in the affected scrotum. Pain in the lower abdomen and inguinal region worsens when standing or walking.

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