Men not only have two testicles, but also have the epididymis, which is equally important as the testicles and serves as a place for sperm maturation and storage. So, if there is inflammation in the epididymis, it will further affect the maturation of sperm, which will inevitably have a negative impact on fertility. So, what are the symptoms of epididymitis? Is there any treatment available?
Symptoms of Epididymitis
Symptoms of chronic epididymitis
Chronic epididymitis is more common, and some patients may become chronic due to incomplete cure during the acute phase. However, most patients do not have a clear acute phase, and inflammation is often secondary to chronic prostatitis or injury. Patients often experience dull pain and swelling in the scrotum on the affected side, which often affects the lower abdomen and ipsilateral groin. Sometimes, it may also be accompanied by secondary hydrocele. During examination, the epididymis often shows varying degrees of enlargement and hardening. Mild tenderness and thickening of the ipsilateral vas deferens.
Symptoms of acute epididymitis
Sudden high fever with elevated white blood cells, swelling and pain in the affected scrotum, a sense of heaviness, and traction pain in the lower abdomen and groin, which worsens when standing or walking. Enlarged epididymis on the affected side with obvious tenderness. When the scope of inflammation is large, both the epididymis and testicles swell, and the boundary between the two is not clear to touch, which is called epididymorchitis. The affected side's spermatic cord has thickened and there is tenderness. In general, acute symptoms can gradually subside after one week.
Treatment of Epididymitis
For mild acute orchitis, physical therapy measures such as bed rest, local hot compress, and raising the scrotum are mainly used clinically. Experts point out that such treatment methods are simple and effective for patients, and can prevent antibiotic abuse. If the patient's condition does not improve after simple physical therapy, or if the patient's condition is severe, necessary antibiotic treatment must be given in a timely manner.
Patients with acute orchitis can be treated with systemic use of anti infective drugs, which is particularly effective for patients with acute bacterial orchitis.
The above are the symptoms and treatment methods of epididymitis that the editor wants to introduce to you. Firstly, patients need to clarify whether it is chronic epididymitis or acute epididymitis, as their treatment plans are different.