Post-Epididymitis Nodules: Causes and Treatments - Urology

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Post-epididymitis induration?


Why did I develop epididymitis without engaging in sexual activity? The doctor said it’s not serious, and the pain disappeared after the third day of medication.
Now, 13 days later, I can squeeze it without pain, but I can feel a small lump on the epididymis.
Is it a nodule or a cyst? I am now taking traditional Chinese medicine; will it gradually subside?

kim25885, 20~29 year old female. Ask Date: 2017/08/19

Dr. Du Shixi reply Urology


Hello: It is not necessarily an infection; sometimes, local injury may be caused by pressure.
As for whether it will completely return to normal, some people do while others do not.
If you switch to traditional Chinese medicine, you can ask a Chinese medicine practitioner if it will completely resolve.
Wishing you good health.

Reply Date: 2017/08/19

More Info


Post-epididymitis nodules can be a source of concern for patients, especially when they are not associated with sexual activity. Epididymitis, which is inflammation of the epididymis (the tube that carries sperm from the testicle), can occur due to various reasons, including infections, trauma, or even non-infectious causes. In your case, it is important to understand that epididymitis can occur in individuals regardless of their sexual activity. Non-sexually transmitted infections, such as urinary tract infections or certain bacterial infections, can lead to this condition.

The small nodule you are feeling on your epididymis could be a post-epididymitis nodule, which is often a result of inflammation or scarring following the resolution of the initial infection. These nodules are typically benign and may not require treatment if they are not causing pain or discomfort. However, it is essential to differentiate between a nodule and a cyst. A cyst is usually a fluid-filled sac, while a nodule is a solid mass of tissue. In many cases, post-epididymitis nodules are firm and may feel like a small lump, which could be what you are experiencing.

Regarding your treatment with traditional Chinese medicine (TCM), it is essential to consult with a qualified practitioner who can provide a tailored approach based on your specific symptoms and overall health. TCM may help in reducing inflammation and promoting healing, but the effectiveness can vary from person to person. It is also crucial to maintain open communication with your healthcare provider about any alternative treatments you are pursuing, as they can help monitor your condition and ensure that no complications arise.

In terms of the timeline for resolution, post-epididymitis nodules can take time to diminish, and in some cases, they may persist for an extended period. If the nodule does not cause any pain or discomfort, it may not require any intervention. However, if you notice any changes in size, shape, or if you experience new symptoms such as pain, swelling, or fever, it is essential to seek medical advice promptly.

In summary, while your condition appears to be improving, it is essential to monitor the nodule and maintain regular follow-ups with your healthcare provider. They can provide guidance on whether further evaluation or treatment is necessary. Remember that while alternative treatments like TCM can be beneficial, they should complement, not replace, conventional medical care. Always prioritize your health and well-being by staying informed and proactive in your treatment plan.

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