What is the hard lump the size of a peanut in the epididymis of the scrotum?

Patient's question:

Symptom Description: There is a hard lump the size of a peanut on the epididymis of the scrotum, and the pain is more noticeable when pressed. Medical history and effectiveness of previous treatment: Drug treatment had no significant effect. What kind of help do you want: Want to know what the problem is.

Doctor's answer:

Common orchitis includes non-specific and mumps orchitis. Any purulent sepsis can lead to acute purulent orchitis, even resulting in testicular abscess. The causative pathogens are mostly Escherichia coli, Streptococcus, Staphylococcus, and Pseudomonas aeruginosa. In fact, the most common cause of purulent orchitis is infection spreading from epididymitis, so it should actually be referred to as epididymo-orchitis. Patients often experience testicular pain radiating to the groin, a noticeable dragging sensation, accompanied by high fever, nausea, vomiting, leukocytosis, and other symptoms. At the same time, the testicles become swollen with significant tenderness, and the scrotal skin becomes red and swollen. If this condition is detected, it is necessary to seek medical attention promptly. Orchitis is curable, as long as timely, systematic, and effective treatment is provided after the diagnosis to prevent testicular damage. Additionally, men should also pay attention to their reproductive health in daily life.

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