Patient's question:
Patient Gender:Patient Age:
Detailed Condition and Purpose of Consultation: Post-epididymitis with abnormal semen for several years, left epididymis is larger than the right, painless, semen is almost non-existent, only a little. What should I do, what tests are best, where should I go for treatment? Thank you.
Doctor's answer:
1. When suffering from testicular and epididymitis, the testicles become chronically swollen, hard, and smooth in texture, with mild tenderness. The testicles lose their normal sensitivity, and some may gradually atrophy. In severe cases, the testicles are almost imperceptible, but the epididymis remains relatively enlarged. In most cases, the inflammation spreads from the epididymis to the testicles, making the boundaries between the two unclear. Bilateral chronic testicular inflammation can often lead to infertility.2. Patients with testicular and epididymitis may experience testicular and epididymitis symptoms such as scrotal pain. The pain in the scrotum often occurs suddenly and can radiate along the spermatic cord to the groin and lumbar-sacral region. The pain is usually severe, with obvious tenderness and resistance to pressure. Swelling progresses rapidly, and the volume of the epididymis can double within 3–4 hours. The body temperature may reach around 40°C, and there may be discharge in the urethra. At this time, it may be accompanied by cystitis, with cloudy urine.