Patient's question:
Initially, there was a swelling in the right epididymis. When I went to the hospital for a check-up, they prescribed medication, but it hasn't helped so far. Now, there is a dull ache in both the inner thighs, abdomen, and the area where the penis meets the scrotum. Is it possible that the epididymitis has become more severe?Doctor's answer:
Hello: It is possible, and it is recommended to continue active anti-inflammatory treatment. Chronic epididymitis often coexists with chronic prostatitis, so the general treatment measures are the same as those for chronic prostatitis. Treating prostatitis can alleviate the symptoms of chronic epididymitis. After the epididymitis heals, residual epididymal nodules may remain, which can sometimes cause psychological burden to the patient. Surgical removal does not always relieve symptoms, so orchectomy is generally not performed. In cases of male infertility due to obstructed sperm output after bilateral epididymitis, anastomosis of the epididymal obstruction near the vas deferens can partially address the issue of sperm drainage, but the postoperative pregnancy rate remains low.