I have a dull pain in my left testicle.

Testicular pain is a problem that exists in many men. There are many diseases that cause testicular pain, one of which is epididymitis. Epididymitis has a great impact on male sexual ability. Sexual ability will not only affect the couple's life, but also have a certain impact on male reproductive ability. Therefore, if you find that you have epididymitis, you must treat it in time to avoid causing greater harm to your body and life.

1. Hidden pain symptoms

Clinically, patients with epididymitis will experience symptoms of testicular pain, which radiates to the groin, with a distinct feeling of falling, high fever, nausea, vomiting, elevated white blood cells, etc. At the same time, the testicles are enlarged, the pain is very obvious, and the scrotal skin is red and swollen. During examination, the epididymis often enlarges and hardens to varying degrees. There is mild tenderness, and the vas deferens on the same side may be thickened.

2. Symptoms and Signs

1. Clinical manifestations of acute epididymitis:

The disease occurs suddenly, with high fever, elevated white blood cell count, swelling and pain in the affected scrotum, a feeling of heaviness, pulling pain in the lower abdomen and groin, which worsens when standing or walking. The affected epididymis is enlarged and there is obvious tenderness. When the inflammation is extensive, both the epididymis and testicle are swollen, and the boundary between the two is unclear. This is called epididymal orchitis. The spermatic cord on the affected side is thickened and there is also tenderness. Generally, the acute symptoms can gradually subside after a week.

2. Clinical manifestations of chronic epididymitis:

Chronic epididymitis is more common. Some patients develop chronic disease because the acute phase cannot be completely cured. However, most patients do not have a clear acute phase. The inflammation is mostly secondary to chronic prostatitis or injury. Patients often feel dull pain and bloating in the scrotum on the affected side. The pain often extends to the lower abdomen and ipsilateral inguinal cleft. Sometimes it may be accompanied by secondary hydrocele. During examination, the epididymis often has varying degrees of enlargement and hardening, with mild tenderness, and the ipsilateral vas deferens may be thickened.

3. Western medicine treatment of epididymitis

1. Treatment of acute epididymitis:

Acute epididymitis should be treated with proper rest, antibiotics and general analgesics. Local hot compresses, physical therapy, and the use of a scrotal support belt to lift the scrotum can be used. If abscesses are formed, incision and drainage are required. In this case, the primary cause should also be actively treated.

2. Treatment of chronic epididymitis:

Chronic epididymitis often coexists with chronic prostatitis, so the general treatment measures are the same as those for chronic prostatitis. The symptoms of chronic epididymitis can be relieved while treating prostatitis. Epididymitis heals and leaves epididymal nodules, which sometimes cause mental burden to patients. Surgical resection may not always relieve symptoms, so orchiectomy is generally not performed. For male infertility due to obstructed sperm output after bilateral epididymitis, proximal anastomosis of the vas deferens and epididymis obstruction can partially solve the problem of sperm drainage, but the pregnancy rate after surgery is not high.