What should I do if I have acute orchitis?

Patient's question:

Health Consultation Description: I received a week of intravenous fluids, and the doctor said I also need to take medication for another week. The ultrasound examination results show bilateral hydrocele with non-uniform echoes at the head of the left epididymis and a cyst at the head of the right epididymis.

Doctor's answer:

Chronic epididymitis is more common, with some patients developing it from incomplete healing during the acute phase, but most patients do not have a clear acute phase. The inflammation is often secondary to chronic prostatitis or injury. Patients often experience a dull ache and heavy sensation in the affected scrotum, with pain frequently radiating to the lower abdomen and the ipsilateral inguinal region. In some cases, secondary hydrocele may be present. A careful examination usually reveals varying degrees of atrophy and hardness of the epididymis, mild tenderness, and possible thickening of the ipsilateral vas deferens.

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