Patient's question:
The current symptoms are swollen and painful testicles, making it difficult to walk. Currently, I am lying at home. Previous tests indicated epididymitis. What are the clinical criteria for diagnosing acute epididymitis?Doctor's answer:
Acute orchitis has very obvious clinical diagnostic symptoms: sudden enlargement and pain of the epididymis, sometimes accompanied by fever and chills, palpable enlargement or lump of the epididymis, and significant tenderness. It is often accompanied by prostatitis and seminal vesiculitis. Laboratory tests: elevated white blood cells, and sometimes urine culture shows pathogenic bacteria.Chronic orchitis: Most patients have a history of acute orchitis. There is scrotal pain, a sense of heaviness or fullness. Palpation reveals a smaller, harder epididymis with mild tenderness, and the affected vas deferens is thicker and harder. Laboratory tests show normal prostate fluid with increased white blood cells.
Orchitis is prone to recurrence, requiring long-term medication.