Acute epididymitis

Acute epididymitis is nonspecific epididymal infection, the commonest scrotal infection. It usually follows ascending infection from posterior urethritis, prostatitis and seminal vesiculitis along the vas; hematogenous spread is rare. Pathogens are mainly E. coli and staph, common in young/middle-aged men; urethral stricture, improper instrumentation and post-surgery catheters cause it, then lymphatic, hematogenous being rarest. Features: scrotal/epididymal pain, severe cases with fever.

Common Symptoms

Epididymal cyst; abscess

Causes

Two main pathogen groups: STD-urethritis pathogens (Chlamydia trachomatis, gonococcus, Ureaplasma) and enteric gram-negative bacilli.

Treatment

Antibiotics, scrotal support, rest

Prevention

Safe sex, treat urinary infection promptly.

Recommended Department

It is recommended to visit the andrology department; before the visit you may first book an appointment and connect with experts through this platform.

Warm reminder: The above information is provided for health education reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek care at a regular hospital in time.