What are the common symptoms of chronic epididymitis?

Patient's question:

I suddenly had a fever these last couple of days, and the medicine didn't help at all. The hospital diagnosed me with acute orchitis. Could you please tell me what are the symptoms of chronic orchitis?

Doctor's answer:

Epididymitis manifests as sudden pain in the scrotal area. The epididymis becomes swollen. There is significant tenderness upon palpation. It may be accompanied by fever. Epididymal inflammation can affect sperm maturation, enhancing its fertilization capability; inflammation can also cause blockage of the epididymal ducts, impairing the long-range mobility of sperm. These conditions can lead to clinical symptoms of chronic epididymitis, including: dull pain in the scrotum, a sense of heaviness and fullness, pain often radiating to the lower abdomen and the ipsilateral inguinal region. Additionally, regular sexual activity should be maintained in daily life to prevent prolonged sitting.

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