Patient's question:
One evening about a month ago, I suddenly felt pain in my testicles and then couldn't sleep anymore. My testicles became larger and hardened, accompanied by pain.Doctor's answer:
Hello, the specific duration of recovery depends on the quality of the medication and the active treatment. Epididymitis is a common disease among male reproductive organs, more prevalent in middle-aged and young adults. Since the infecting bacteria are gram-negative bacilli and gram-positive cocci, it is also known as non-specific epididymitis. The causative pathogens rarely enter through the bloodstream or lymphatic system; it is often secondary to prostatitis, seminal vesiculitis, or urethritis. The condition is usually unilateral. It needs to be differentiated from epididymal tuberculosis and filariasis of the epididymis. The former is characterized by early localized lesions in the tail of the epididymis, with later loss of distinction between the epididymis and testis, adhesion of the skin to the epididymis, and even the formation of sinuses. The latter involves thickening of the scrotal skin, and microfilariae can be detected in blood samples taken at night. The treatment of this condition often does not yield ideal results with simple anti-inflammatory therapy alone, so it is generally recommended to use antibiotic iontophoresis and seminal vesiculoplasty. For severe local symptoms that persist despite prolonged treatment, surgical removal may be considered. If accompanied by prostatitis or seminal vesiculitis, these conditions should be treated concurrently.