Patient's question:
What are the dangers of epididymitis in men? My brother has developed seminal vesiculitis, and I've been very concerned about his physical condition. Could you please tell me what dangers epididymitis can cause?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 heavy sensation, with pain potentially radiating to the lower abdomen and the ipsilateral thigh. The affected epididymis becomes enlarged, with mild tenderness, and is clearly demarcated from the testis. The scrotal skin may appear edematous and red. Accompanying symptoms include thickening of the spermatic cord and vas deferens, as well as hardened prostate with fibrous nodules and other chronic prostatitis manifestations. Bilateral chronic epididymitis can lead to infertility. It is recommended to seek diagnosis and treatment from a specialized hospital to identify the cause of epididymitis and provide targeted treatment for optimal therapeutic outcomes.