How should acute epididymitis be treated?

Patient's question:

Recently, I've been feeling pain in my testicles. At first, it was just a dull ache, and I didn't pay much attention. Gradually, the pain seemed to become more noticeable. When I went to the hospital for a check-up, they said it was epididymitis.

Doctor's answer:

Epididymitis is a relatively common disease among middle-aged and young men, caused by pathogens such as Escherichia coli, Staphylococcus, or Streptococcus entering the epididymis through the vas deferens via retrograde infection. Therefore, this condition often follows posterior urethritis, prostatitis, or seminal vesiculitis. It may also occur after urethral instrumentation or prolonged urethral catheterization, with retrograde infection being more common. The epididymis is located at the upper and posterior margin of the testis. The epididymal duct is about 4-5 meters long, coiled to form the body and tail, aiding in sperm maturation. Epididymitis often coexists with prostatitis, which in turn is related to endocrine function, sexual function, and urinary system function. It is recommended that patients seek medical attention.

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