The health of the genitals is very important. Both men and women should pay attention to their health. Many patients do not seek timely treatment when they find abnormalities in their bodies, which can easily miss the best treatment time. Therefore, when there are lumps in the testicles, everyone needs to seek medical attention in time. Next, we will introduce in detail some of the reasons for lumps in the testicles. Epididymitis is a non-specific infection of the male reproductive system, which is more common in young and middle-aged men. The pathogenic bacteria often enter the epididymis retrogradely through the vas deferens and cause inflammation. Lymphatic and hematogenous infections are rare. Therefore, epididymitis often occurs secondary to urethritis, prostate seminal vesiculitis, urethral instrumentation and long-term indwelling catheters. In addition, urethral obstruction such as urethral stenosis and prostatic hyperplasia are also one of the pathogenic factors of epididymitis. The pathogens are mostly Escherichia coli, Staphylococcus, Streptococcus, Neisseria gonorrhoeae, etc. It is divided into acute, chronic and epididymitis. In the past decade, mycoplasma and chlamydia have become the main pathogenic pathogens, and tuberculosis infection has also shown an increasing trend. Acute epididymitis: This disease usually develops rapidly, with symptoms such as general discomfort, high fever and increased white blood cell count. It often occurs on one side and rarely on both sides. The scrotum is swollen and the pain is severe, which can radiate to the ipsilateral abdominal groove area and lower abdomen. The scrotum is enlarged and the skin is red. Examination shows that the epididymis is enlarged and obviously tender. In the early stage, it has a clear boundary with the testicle, and the seminal vesicle is edematous and coarse. Treatment: 1. For those with abscess, incision and drainage are required. A small number of cases that develop testicular infarction should undergo orchiectomy. 2. Lift the scrotum to relieve pain, apply local hot compress, and seal the spermatic cord. 3. For antibiotics and analgesics, you can take 12 bottles of Chinese medicine Xietongbi, 10 bottles of Qianlie Niuluqing, 60 bags of Miganjian, and 10 bottles of Gailezhi. Chronic epididymitis: Clinically, some patients suffer from acute epididymitis, but most patients have no history of acute attacks, and often have chronic prostatitis. A few patients have repeated acute attacks. Chronic epididymitis generally has no obvious symptoms, and the clinical manifestations are quite inconsistent. There may be local discomfort, a feeling of bloating, and scrotal pain, which may radiate to the lower abdomen and the ipsilateral thigh. Examination can touch the enlarged distal epididymis, with mild tenderness and a clear boundary with the testicle. There is no thickening of the spermatic cord and vas deferens. Bilateral epididymitis causes seminal tract obstruction, leading to male infertility. The above contents are about some of the reasons for lumps in the testicles. If you find something unusual in your body, don’t worry but don’t ignore it. The most correct way is to self-diagnose first. If the situation is more special, go to the hospital for examination. Only after the diagnosis is confirmed can the right medicine be prescribed. Never blindly accept treatment. |
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