Enlargement of the tail of the epididymis

Some male friends are often troubled by reproductive organ diseases, such as prostate problems, prostatitis, and prostate enlargement. But no matter what kind of disease occurs, it is necessary to find a targeted treatment method. The structure of the male reproductive organs is relatively complex, and these structural parts that make up the reproductive organs are often prone to serious disease problems. So what is the reason for the enlargement of the tail of the epididymis?

Causes

Epididymitis is mainly caused by epididymitis. Acute epididymitis is mostly caused by the spread of urinary system, prostatitis and seminal vesiculitis along the vas deferens to the epididymis, and bloodstream infection is less common. 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.

Diagnosis

The epididymis is enlarged, and the urine is sometimes urgent and bifurcated.

Diagnosis of epididymal enlargement 1. Acute epididymitis:

This disease is usually easy to diagnose based on the medical history and physical signs. It is mainly diagnosed as epididymitis caused by epididymitis. However, it should be distinguished from testicular torsion. Testicular torsion is a sudden disease. The enlarged testicles are fixed and cannot move in the scrotum. Lifting the scrotum cannot relieve local pain.

Diagnosis of epididymal enlargement 2. Chronic epididymitis:

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

harm

1. Loss of fertility. Epididymitis can lead to dead sperm, azoospermia, loss of fertility, and transmit inflammatory bacteria to the spouse, causing gynecological diseases and harming the wife.

2. Can cause loss of sexual function. Epididymitis can lead to decreased male sexual function or even complete loss of sexual function, bringing difficulties to the couple's sexual life.

3. Induce dangerous diseases. Epididymitis can easily induce various serious diseases, such as varicocele, phlebitis, prostatitis, endocrine diseases, nephritis and other kidney diseases, urinary tract infections, and in severe cases can lead to malignant tumors, seriously threatening men's lives.

4. Impairment of essence and kidney, and premature aging. If epididymitis is not cured for a long time, it is easy to cause impaired essence and kidney, loss of vitality, chills in the limbs, back pain, and premature aging.

Check

1. Acute

This disease is usually 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

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

In addition to the above routine examinations, what other means can be used in clinical medicine to examine epididymitis? Director Jia Xiaoming introduced that patients with epididymitis generally have nodules, which mostly occur in the head or tail of the epididymis, mostly in the tail. After the epididymis is infected, nodules are often left in the tail or head. The diagnosis of epididymitis can be confirmed by observing clinical symptoms and signs and conducting laboratory tests.

1. Understand the symptoms

Epididymitis often occurs after heavy physical exertion, such as lifting heavy objects, or after strong sexual excitement. Pain in the scrotum often occurs suddenly, and can radiate along the spermatic cord to the inguinal area and lumbosacral region. The pain is usually severe, and the pain is obvious and resistant to pressure. The swelling progresses rapidly, and the epididymis can double in size within 3-4 hours. The body temperature can reach about 40℃, and secretions may appear in the urethra. At this time, it may be accompanied by cystitis and turbid urine.

2. Observe physical signs

There is tenderness in the groin area, scrotal enlargement, local skin redness and swelling, and if abscesses are formed, the skin becomes dry and thin and easy to fall off. Abscesses can also rupture on their own. If the doctor is seen in time, the boundary between the enlarged and hardened epididymis and the testis is clear, but after a few hours, the testis and epididymis become a hard lump, the spermatic cord becomes thicker due to edema, and secondary hydrocele appears after a few days. There may be secretions in the urethra.

3. Laboratory inspection

The peripheral blood leukocyte count can reach (2-3)×109/L. Urinary secretions can be examined by staining or non-staining. Urinalysis is also an important means of examining epididymitis.

4. Ultrasound examination

The extent of swelling and inflammation of the epididymis and testicles can be shown.

5. Magnetic resonance imaging

Epididymitis may be diffuse or focal, and the epididymal signal on T2-weighted images may be the same as or higher than the testicular signal.