Patient's question:
My left testicle is painful and swollen. I first developed this condition on May 26th, and after treatment, the pain subsided. However, it has now recurred, and there is some blockage in the sperm duct.Doctor's answer:
Epididymitis is primarily caused by retrograde infection of the epididymis through the vas deferens from prostatitis or seminal vesiculitis, with hematogenous infection being rare. It is classified into acute epididymitis and chronic epididymitis. The scrotum often exhibits pain, swelling, and a heavy sensation, with pain potentially radiating to the lower abdomen and the ipsilateral thigh. The affected epididymis becomes enlarged with mild tenderness, clearly demarcated from the testis, and the scrotal skin may appear edematous and red. Accompanying symptoms include thickening of the spermatic cord and vas deferens, hardening of the prostate with fibrous nodules, and other chronic prostatitis manifestations. Bilateral chronic epididymitis can lead to infertility. We recommend that you visit our Reproductive Infection Department for diagnosis to identify the underlying cause and receive targeted treatment!