What causes epididymitis?

Epididymitis is a common disease currently, mainly caused by bacterial infection or previous physical inflammation. Patients often experience swelling and tenderness, and may also be accompanied by complications. In addition, patients will experience frequent urination and urgency, and even a burning sensation in the urethra. They will feel particularly uncomfortable when urinating, and need to be treated with some simple and effective methods.

Pathological etiology

Acute epididymitis is mostly caused by the urinary system, prostatitis and seminal vesiculitis spreading along the vas deferens to the epididymis. Bloodstream infection is relatively rare. Transurethral instrumentation, frequent catheterization, and indwelling urinary catheter after prostatectomy are all likely to cause epididymitis.

If acute epididymitis is not treated thoroughly, it may turn into chronic epididymitis.

Disease Diagnosis

This disease is not difficult to diagnose based on medical history and physical signs, but it must be distinguished from testicular torsion. Testicular torsion is an acute disease with enlarged and fixed testicles that cannot move in the scrotum. Lifting the scrotum cannot relieve local pain.

Inspection method

1. Acute epididymitis:

This disease is not difficult to diagnose based on medical history and physical signs, but it must be distinguished from testicular torsion. Testicular torsion is an acute disease with enlarged and fixed testicles that cannot move in the scrotum. Lifting the scrotum cannot relieve local pain.

2. Chronic epididymitis:

In chronic epididymitis, the epididymis is often uniformly swollen, hard, and tender.

Complications

(I) Chronic prostatitis The main clinical manifestations of chronic prostatitis are urinary urgency, frequent urination, urethral burning pain and discomfort, discharge of white turbid fluid at the end of urine, discomfort or pain in the perineum, lower abdomen, testicles and urethra. The white blood cells in the prostatic fluid increase, and the lecithin bodies decrease. Chronic prostatitis should be treated with both attack and supplement, combined with comprehensive treatment, and attention to lifestyle and diet regulation, which will help improve the efficacy.

[II] Seminal vesiculitis The main clinical manifestation of seminal vesiculitis is hematospermia, accompanied by symptoms such as frequent urination, urgent urination, discomfort during urination, and discomfort in the perineum. It often coexists with prostatitis. The general etiology and pathogenesis of seminal vesiculitis is that pathogenic factors enter the body from the outside, causing visceral disorders and disharmony of qi and blood, which leads to damage of the seminal vesicle vessels and blood overflowing from the vessels. Traditional Chinese medicine treatment mostly focuses on "blood", and adopts the methods of "cooling blood to stop bleeding", "nourishing blood to stop bleeding", "replenishing qi and regulating blood" and "activating blood to stop bleeding", which have a good effect on most patients with seminal vesiculitis.