Patient's question:
It has been found for four or five years.Doctor's answer:
Epididymitis is the most common intra-scrotal infectious disease, primarily affecting middle-aged and young adults. The pathogen is typically introduced from the urethra and vas deferens 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 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 pathogens usually being bacteria from urinary tract infections.By course of illness, epididymitis can be divided into acute and chronic forms. Acute epididymitis has a sudden onset, with rapid swelling of the epididymis, significant tenderness, accompanied by chills, fever, headache, and nausea (but usually 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 epididymitis is often a sequelae of acute epididymitis or presents as a chronic infection from the start. It is mostly located at the tail of the epididymis, presenting as nodules with slightly hard texture and mild tenderness, which worsens during physical exertion. Generally, there are no systemic symptoms.
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