Symptoms of acute epididymitis
Sep 13, 2022
Source: Cainiu Health
Dr. Li Mingchuan
Introduction
Acute epididymitis is commonly seen in young males, who often experience tenderness in the lateral inguinal region and lower abdomen. The scrotum on the affected side becomes swollen. If an abscess has formed, the overlying skin may appear dry, scaly, and thin, and the abscess may eventually rupture spontaneously. In the early stages of the disease, the enlarged epididymis can still be distinguished from the testis; however, within a few hours, the two may merge into a single mass.
In daily life, if the body's resistance decreases, bacteria can enter through the urethra and cause acute epididymitis. What are the symptoms of acute epididymitis?
Symptoms of Acute Epididymitis
Acute epididymitis commonly occurs in young men. Patients often experience tenderness in the lateral inguinal region and lower abdomen. The scrotum on the affected side becomes swollen. If an abscess has formed, the overlying skin may appear dry, scaly, and thinned, and the abscess may eventually rupture spontaneously. In the early stages of the disease, the enlarged epididymis can still be distinguished from the testis, but within a few hours, the two may merge into a single mass. The spermatic cord thickens due to edema, and secondary hydrocele of the tunica vaginalis may develop within a few days. Prostate examination may reveal signs of acute or chronic prostatitis; however, prostate massage should not be performed at this time, as it may worsen the epididymitis.
Acute epididymitis often develops after frequent sexual intercourse. The onset is sudden, with discomfort and swelling in one or both sides of the scrotum, accompanied by severe local pain that affects mobility. Pain may radiate to the ipsilateral spermatic cord, inguinal region, and lower abdomen. Systemic symptoms such as malaise and high fever are common. Urinary tract irritation may also occur. The epididymis may swell to double or more of its normal size within a short period. On physical examination, the epididymis on the affected side is enlarged and tender; sometimes, the boundary between the testis and epididymis becomes indistinct. When inflammation is severe, the scrotal skin may become red and swollen. The ipsilateral spermatic cord is thickened and tender.
In daily life, diagnosis can also be assisted by routine urine tests, color Doppler ultrasound of the scrotum, and complete blood count. We hope this information is helpful to you. Wishing you good health and happiness.
