How do men get epididymitis?

The boy has two testicles in his scrotum, but in addition to the testicles, there are also two epididymal cysts. Epididymal cysts are a pair of long, flat human organs that are attached to the lower part of the spermatic curve together with the testicles. They grow and develop close to the testicles and are divided into three parts: head, body, and tail. The head is connected to the testicles, and the tail is connected to the ejaculatory duct. Epididymal cysts are both the only way for sperm and the "cradle" for sperm growth, development, and perfection.

Epididymitis is also a common disease among young people. When the body's resistance is low, pathogens such as E. coli, Staphylococcus, and Streptococcus will travel through the ejaculatory duct and invade the epididymal cyst to cause inflammation. Therefore, the disease is often secondary to posterior urethritis, prostatitis, and seminal vesiculitis.

Introduction to Epididymitis

Male epididymitis is one of the common diseases of the male reproductive system, which causes a lot of confusion to the physical and mental health of male friends.

Epididymitis is usually caused by the spread of infection from adjacent organs. The main symptoms are sudden pain in the scrotum, swelling of the epididymal cyst, obvious dull pain, which may be accompanied by fever, epididymal nodules, etc. Epididymitis is usually secondary to infection of the urethral orifice, male prostate or seminal vesicles, and is often caused by incomplete treatment of acute symptoms.

Epididymitis is classified as a type of disease in traditional Chinese medicine. Its clinical symptoms include sudden onset of pain and scrotal pain, accompanied by fever, chills and other systemic infectious symptoms. The pain may radiate to the groin, lower abdomen and vulva. [1]

Diagnosis and diagnosis of epididymitis

Epididymitis, like other diseases, is also divided into subacute and chronic. Therefore, when patients are diagnosed with epididymitis, they must distinguish whether it is subacute or chronic so that they can specify the corresponding treatment plan. Misdiagnosis always delays treatment and leads to serious illness. The causes of acute and chronic epididymitis are different, but they are related to each other. In particular, if acute epididymitis is not controlled, it is likely to turn into chronic epididymitis.

Acute epididymitis is usually caused by the urinary system, prostatitis and seminal vesiculitis flowing along the ejaculatory duct to the epididymal cyst. Blood circulation infection is rare. The actual operation of transurethral instruments, frequent catheterization, and the placement of a urinary catheter after male prostatectomy are all likely to cause epididymitis.

Pathology of Epididymitis

1. Key symptoms of epididymitis

There is tenderness in the groin, scrotal enlargement, and redness and itching of some skin. If a cyst is formed, the skin will become dry and soft and easy to fall off. The cyst may also rupture spontaneously. If you seek medical attention in time, the boundary between swelling and hardening is clear, but after a few hours, it will become a hard lump with the epididymal cyst. The spermatorrhea will become larger and thicker due to edema, and secondary hydrocele will appear after a few days. There will be secretions in the urethra.

2. Chronic Epididymitis

Chronic epididymitis is more common. Some patients become chronic because acute symptoms cannot be completely cured, but most patients do not have confirmed acute symptoms. Inflammation is often secondary to chronic prostatitis or damage. Patients often feel dull pain and bloating in the scrotum of the affected limb. The pain often involves the lower abdomen and groin in the same direction. Sometimes there may be secondary hydrocele. During examination, the epididymal cyst often appears to be enlarged and hardened to varying degrees, with slight tenderness, and the ejaculatory duct in the same direction may be enlarged and thickened.

3. Subacute epididymitis

The disease occurs suddenly, with high fever, increased white blood cells, swelling and pain in the scrotum of the affected limb, a feeling of heaviness, and referred pain in the lower abdomen and groin, which worsens when standing up or walking. The epididymal cyst of the affected limb is swollen and there is significant tenderness. When the inflammation is very large, the epididymal cyst and male testicles are swollen, and the boundary between the two is unclear, which is called epididymal cyst-orchitis. The seminal tract of the affected limb is enlarged and thickened, and there is also tenderness. Under normal circumstances, acute symptoms can slowly disappear after a week.

Patients should have a full understanding of the different symptoms of epididymitis in different conditions in men. If they have this symptom, they should fully consider the possibility of epididymitis.