The testicles are the reproductive organs of the male body. Because there are reproductive cells and sperm inside, men should learn to protect their testicles in daily life. Although sometimes the testicles may suffer some accidental injuries, which cannot be prevented, what can be prevented is testicular diseases. So the question is, what should male patients do if they have epididymal enlargement in clinical practice? Epididymitis is mainly caused by epididymitis. Epididymitis is more common in young and middle-aged people, and can be divided into acute epididymitis and chronic epididymitis according to the course of the disease. The clinical manifestations of acute epididymitis are: sudden onset, high fever, elevated white blood cells, 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 range is larger, both the epididymis and testicles are swollen, and the boundary between the two is unclear, which is called epididymo-orchitis. The spermatic cord on the affected side is thickened and there is also tenderness. Under normal circumstances, acute symptoms can gradually subside after one week. 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. |
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