Patient's question:
Do you have female nurses? I want to be castrated by him? It would be so painful to see him squeeze out the testicles and cut off the penis.Doctor's answer:
Hello, based on your description, it cannot be ruled out that conditions such as orchitis and epididymitis may be present. These are often caused by bacterial infection of the testicles. The main route of infection is retrograde infection, commonly occurring in patients with lower urinary tract infections, prostatitis, post-urethral surgery, or those with long-term indwelling catheters, leading to epididymitis and orchitis. It can also spread hematogenously to the testicles, causing isolated orchitis. The causative pathogens are often Escherichia coli, Proteus, Staphylococcus, Enterococcus, and Pseudomonas aeruginosa, among others.Clinical symptoms typically include unilateral pain radiating to the groin, accompanied by fever, chills, nausea, and vomiting. The scrotal skin may become red and swollen, with the testicles and epididymis swollen and tender. Hydrocele may also be present. Treatment should be based on bacterial culture and susceptibility testing, with antibiotics being the primary choice. Additionally, bed rest and scrotal elevation should be recommended to alleviate symptoms. Sexual activity and physical exertion should be avoided. Early cold compresses can help prevent swelling, while later heat compresses may be used to accelerate inflammation resolution.