Patient's question:
I feel that the left testicle is still slightly larger than the right one, and it occasionally causes some discomfort. There is sometimes a feeling of pain and discomfort.The help I hope to receive: What are the symptoms of epididymitis?
Doctor's answer:
Acute orchitis is the most common intra-scrotal infectious disease, predominantly occurring in middle-aged and young adults. The pathogen is typically introduced from the urethra and vas deferens to the epididymis through retrograde infection, or via hematogenous infection. Based on the nature of the infection, it can be classified as specific or non-specific. The former includes infections caused by pathogens such as tuberculosis, gonococci, chlamydia, etc.; the latter is often secondary to conditions like prostatitis, seminal vesiculitis, urethral stricture, benign prostatic hyperplasia, or prolonged indwelling urethral catheters, with the pathogens usually being bacteria from urinary tract infections.By course of disease, acute orchitis can be distinguished from chronic epididymitis. Acute orchitis manifests suddenly with rapid swelling of the epididymis, significant tenderness, accompanied by chills, fever, headache, and nausea (but without vomiting). It often involves the spermatic cord, causing it to thicken. If it spreads to the testis, it is termed epididymo-orchitis and must be differentiated from testicular torsion and testicular tumors. Chronic orchitis is often a sequelae of acute orchitis or may present initially.