Patient's question:
Reward 50 Health CoinsFrom Beijing,
Thank you to the doctor for answering my question quickly – how to treat and prevent it.
Doctor's answer:
Hello, clinically, epididymitis is divided into two major categories: acute epididymitis and chronic epididymitis. Acute epididymitis develops rapidly, characterized by a sense of heaviness and discomfort in the affected scrotum, severe local pain, and even affecting mobility. The pain can radiate to the ipsilateral inguinal region and lower abdomen, accompanied by general malaise and high fever. Physical examination: the affected epididymis is swollen and tender. In more severe cases, it may involve the testis, and the scrotal skin may become red and swollen. Chronic epididymitis is more common than acute epididymitis, with some patients failing to recover during the acute phase and developing into chronic conditions. Most patients have no history of acute episodes and often accompany chronic prostatitis. The clinical manifestations of this disease are diverse, including scrotal pain, a sense of heaviness, and pain that can radiate to the lower abdomen and the inner side of the ipsilateral thigh. Physical examination may reveal mild swelling of the epididymis, hardness, and nodules, with mild local tenderness. The ipsilateral ureter may be dilated. Chronic epididymitis can often flare up acutely. The patient may experience high fever, chills, testicular pain radiating to the inguinal region, often accompanied by nausea and vomiting. The scrotal skin may become red and swollen, and the testis may be enlarged, often accompanied by hydrocele. It is recommended to seek medical attention for examination and treatment to avoid delaying the condition.