Patient: I am a student of the 4th training class of CUA South China Minimally Invasive Technology Training Center! I would like to ask you a question! I found out on the internet that you have deep research in epididymitis! But basically there is no acute epididymitis attack period (no acute phase symptoms), the beginning is the left epididymis pain, ultrasound is the left epididymis slightly enlarged, when the infusion treatment 2 weeks after some improvement after oral Chinese medicine treatment, but the pain slowly disappeared later! I did not pay attention to it and did not review it! However, 10 days later, the pain in the left epididymis appeared again, together with pain in the left groin area and occasional discomfort on the right side. The left epididymis was slightly enlarged by 1.1*.08 with uneven echogenicity and localized chronic fibrosis, and the focal area accounted for about 1/5 of the left epididymis, but there were still 4/5 of the epididymis with normal texture and no obvious abnormality. There was also a 0.5*0.2 cm epididymal cyst, and the left vas deferens was slightly thicker. No obvious abnormality was seen in the right testicle epididymis and no obvious abnormality was seen in the left testicle. It was really frightening at that time! At present, I feel that the pain of the left epididymis is reflected to the groin, and the right groin occasionally has pain. I don’t know if it is chronic prostatitis or epididymitis combined with chronic prostatitis, if bilateral epididymitis is a problem! At the same time, I don’t know if the left epididymis is now considered chronic epididymitis! If the entire left epididymis is fibrotic, it’s not a good idea! I’ve tried to drink oral medication but the effect is not good. I heard that Chinese medicine and local physical therapy are good! The second hospital of Sun Yat-sen University, Department of Urology Huang Hai: most of the general epididymitis is caused by retrograde infection through the reproductive ducts, occurring more than at the same time prostatitis, only some of the people with prostatitis clinical manifestations are not obvious. For the treatment of the acute phase (or the period with significant pain), I recommend intravenous antibiotics such as quinolones and macrolides. The chronic period can be oral anti-inflammatory drugs and blood circulation and blood stasis Chinese medicine, I have tried in the local use of fish oil, penetration effect is not bad, also have some effect. Local physical therapy, if the temperature is too high, will have an impact on fertility, can be used at your discretion.