Patient's question:
Hello, I am a student, 19 years old, and I am about to take the college entrance examination. This problem has been troubling me for a long time, making me unable to focus on studying. Please help me with the experts.Question 1: Twenty days ago, I was hit in the groin by a classmate, and my testicles and lower abdomen had mild, intermittent pain—not very painful. Later, I went to see a doctor. The doctor palpated and squeezed it, and I felt it was just the sensation of being squeezed. An ultrasound was performed: both testicles were of normal size, with smooth tunics and uniform. However, it revealed that the left epididymis was 1.30.6 cm and the right epididymis was 1.00.5 cm. The report indicated that the left epididymal head was slightly enlarged and the clinical diagnosis was left epididymitis.
I would like to ask if such an enlarged epididymal head
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 as acute epididymitis or chronic epididymitis. The scrotum often exhibits pain, swelling, and a sense of heaviness, with pain potentially radiating to the lower abdomen and the same side of the inner 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, as well as hardening of the prostate with fibrous nodules and other chronic prostatitis manifestations. Bilateral chronic epididymitis can lead to infertility. Therefore, it is recommended that you seek active treatment at a reputable and specialized hospital, where recovery is possible.