Patient's question:
21-year-old male went to the hospital on May 18th to receive cephalexin and levofloxacin for treatment, which cured the condition. In June, he had a high fever of 37.5 degrees for the entire month. The hospital conducted a thorough examination and diagnosed him with mycoplasma pneumonia, prescribing azithromycin for two weeks, but the high fever did not subside. On July 6th, he experienced pain when touching the right testicle, with a very thick spermatic cord. He had previously been treated for epididymitis and varicocele on the left side, which had been cured and had not recurred, but now the condition has occurred twice on the right side.Doctor's answer:
Epididymitis has been present for some time. Although epididymitis can improve with anti-inflammatory treatment, it tends to recur. On the other hand, varicocele does not have a causal relationship with epididymitis; it is caused by dysfunction of the valves in the spermatic veins. It is recommended to seek further thorough examination at a regular hospital's urology department. Let the doctor examine and diagnose the condition to determine the treatment plan, which is generally surgical intervention. Additionally, varicocele may interfere with the inflammation and resolution of epididymitis.