What is epididymal induration?
Epididymal induration is a common clinical manifestation in the male reproductive system and may be caused by a variety of reasons. This article will combine the hot medical topics on the Internet in the past 10 days to provide you with a detailed analysis of the definition, causes, symptoms, diagnosis and treatment of epididymal induration.
1. Definition of epididymal induration
Epididymal induration refers to the hard nodules or masses that appear in the epididymis. The epididymis is a tubular structure located above the testicles that stores and transports sperm. When inflammation, infection, or other pathology occurs in the epididymis, induration may form.
2. Common causes of epididymal induration
| Cause type | specific reasons | Proportion (reference data) |
|---|---|---|
| Infectious | Bacterial epididymitis, tuberculous epididymitis | about 65% |
| non-infectious | Sperm granuloma, epididymal cyst | about 25% |
| neoplastic | Benign tumors and malignant tumors of epididymis | about 10% |
3. Typical symptoms of epididymal induration
According to recent discussions on medical forums, patients often report the following symptoms:
| Symptoms | frequency of occurrence | accompanying performance |
|---|---|---|
| Scrotal distension and pain | high frequency | May radiate to groin |
| palpable induration | Must appear | Mostly located behind the testicles |
| Abnormal urination | IF | Frequent urination and urgency |
| Fever | low frequency | More common in acute infection stage |
4. Diagnostic methods
Based on the recent diagnosis and treatment guidelines issued by tertiary hospitals, it is recommended to adopt the following examination procedures:
| Check items | diagnostic value | Things to note |
|---|---|---|
| Palpation examination | Preliminary judgment on the nature of induration | Requires professional urological surgery |
| Ultrasound examination | Differentiating cystic and solid lesions | High frequency scrotal ultrasound is preferred |
| laboratory tests | Identify the type of infection | Including urine routine and semen analysis |
| Pathological biopsy | Confirm the nature of the tumor | Only suitable for suspected malignant cases |
5. Treatment plan
According to the latest treatment recommendations published by medical journals in the past 10 days:
| Treatment | Applicable situations | Treatment cycle |
|---|---|---|
| antibiotic treatment | bacterial infection | 2-4 weeks |
| antituberculosis treatment | Tuberculous epididymitis | 6-9 months |
| surgical treatment | Refractory cysts/tumors | single surgery |
| Conservative observation | Asymptomatic small induration | Regular review |
6. Prevention and precautions
1.Maintain genital hygiene: Daily cleaning to avoid infection
2.safe sex: Use condoms to prevent sexually transmitted diseases
3.Avoid sitting for long periods of time: Get up and move around for 5 minutes every hour
4.Regular physical examination: Annual urinary system examination is recommended
7. Recent hot questions and answers
Q: Can epididymal induration become cancerous?
A: The vast majority of lesions are benign, but the possibility of malignant tumors needs to be ruled out through examination.
Q: Does induration require treatment if it is not painful?
A: Asymptomatic small indurations can be observed, but it is recommended to seek medical attention as soon as possible to determine the nature.
Q: Is traditional Chinese medicine treatment effective?
A: It can be used as an auxiliary method, but Western medicine treatment should be given priority in the acute infection period.
This article combines the latest medical data and Internet discussion hot spots to provide comprehensive and reliable medical information. If relevant symptoms occur, it is recommended to go to the urology department of a regular hospital in time.
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