Symptoms of acute epididymitis?

summary

The general male just suffering from epididymitis is, often with acute performance, but long-term treatment or no attention, will slowly develop into chronic epididymitis, chronic epididymitis treatment is more difficult, the harm to patients is also more serious, so experts suggest that men generally in the acute phase of active treatment, acute epididymitis symptoms? Let's talk about it

Symptoms of acute epididymitis?

Acute epididymitis is more acute, manifested as the affected scrotum swelling discomfort, severe local pain, and even affect the action, pain can radiate to the ipsilateral inguinal area and lower abdomen, accompanied by systemic discomfort and high fever. Physical examination: the epididymis on the affected side was swollen and tender. When the inflammation is serious, it can affect the testis, and the scrotal skin can be red and swollen.

The irreversible end stage of severe acute epididymitis is chronic epididymitis. At this time, the symptoms are often lighter than those of acute epididymitis. Chronic epididymitis due to fibrous hyperplasia of the entire epididymis sclerosis, scar under the microscope is very significant, often can see epididymal duct occlusion, tissue infiltration by lymphocytes and plasma cells.

Tuberculous epididymitis is very similar to chronic epididymitis. The vas deferens is beaded, and the seminal vesicle is thickened. The urine examination is "sterile urine" or "tuberculous urine", which can indicate tuberculous epididymitis. Cystoscopy can show bladder ulcer, and urinary X-ray examination can also help the diagnosis. Testicular tumor may have testicular mass, thickening and hardening of epididymis and hypoesthesia of testis (tumor) can be found by palpation. Epididymal tumors are rare, and the differential diagnosis between epididymitis and epididymitis depends on pathology. If chronic epididymitis is bilateral, it can lead to infertility.

matters needing attention

Acute phase (3 ~ 4 days) should rest in bed, the application of scrotal bracket can reduce symptoms, early ice bags can be placed in the epididymis, to prevent swelling. In the late stage, hot compress can be used to promote local blood circulation and accelerate the regression of inflammation. To avoid sexual impulse and heavy physical activity, so as not to aggravate the infection and symptoms. Active treatment of primary causes, clinical use of antibiotics. General analgesics were given to patients with severe pain. Local feasible hot compress, physical therapy, the use of scrotal strap to hold up the scrotum. If there is abscess formation, incision and drainage are needed.