Patient's question:
Two years ago, during my freshman year of high school, one night I suddenly experienced scrotal swelling and testicular pain, which also radiated to the groin area. I came home, supported my testicles, and massaged them for a few minutes, and the pain subsided. Then I didn’t take it seriously. Later, there was no recurrence. Over the next two years, the symptoms (I don’t remember the exact timing) appeared about two or three times, each lasting only a few minutes, and there were no symptoms otherwise.A month ago, I noticed scrotal swelling and discomfort, along with mild pain in the lower abdomen and groin. I searched online and suspected it might be varicocele or epididymitis. When I examined myself, I found that the left testicle had a tube that was noticeably thicker than the right, and I assumed it was varicocele. Today, I suddenly remembered the pain from two years ago, and I realized it couldn’t have been chronic epididymitis, could it? I’m really upset—varicocele seems to be present too. Could both conditions be present? Now
Doctor's answer:
Acute orchitis primarily manifests as localized pain in the affected epididymis, which can radiate to the groin and lower back, accompanied by general malaise, chills, and fever. This condition can also cause systemic symptoms. Since the cause of epididymitis is bacterial rather than urine reflux, medication should be administered. The selection of antibiotics should be based on bacterial culture and antibiotic sensitivity tests. For patients with epididymitis, timely treatment can reduce the risk of complications. If left untreated, it can affect overall health. Additionally, it is important to avoid overexertion and maintain good personal hygiene in daily life.