Mumps-Related Epididymitis: When to Seek Further Medical Evaluation

Epididymitis caused by mumps?

At the end of the year before last, I developed epididymitis as a complication of mumps.
After taking medication, the pain subsided.
However, I noticed that there is a soft mass on my testicle, which causes only very mild pain when pressed.
I visited a urologist, who mentioned it was likely lymphatic swelling and not a major issue, prescribing me antibiotics.
However, today I noticed some pain in my lower right abdomen (near the groin), and I found that pressing on the mass causes pain in that area.
Should I consider going to a major hospital for further examination?

Niming, 10~19 year old female. Ask Date: 2021/05/26

Dr. Li Xinyi reply Urology

As long as the soft mass persists, even if the physician believes it may be a lymph node, it is recommended that you continue to have regular follow-ups.
Any changes should prompt you to seek further evaluation and discuss with your physician.

Reply Date: 2021/05/26

More Info

Mumps-related epididymitis can lead to various complications, and the symptoms you're experiencing warrant careful consideration. Given your history of mumps and subsequent epididymitis, it is essential to monitor any new or worsening symptoms closely.
The soft mass you described in your testicle, which is causing mild discomfort, could be a lymphatic swelling or possibly a cyst. While your urologist has reassured you that it is not a significant issue, the development of pain in your lower right abdomen, especially when pressure is applied to the mass, raises some concerns.
In general, if you experience any of the following symptoms, it is advisable to seek further medical evaluation:
1. Increased Pain: If the pain in your lower abdomen worsens or becomes severe, it could indicate a more serious condition that requires immediate attention.

2. Swelling or Changes: If the mass in your testicle increases in size, becomes hard, or changes in texture, it is crucial to have it re-evaluated.

3. Fever or Chills: The presence of fever could indicate an infection that may need more aggressive treatment.

4. Nausea or Vomiting: These symptoms, especially when combined with abdominal pain, could suggest a more serious underlying issue.

5. Changes in Urination: If you experience pain during urination, blood in your urine, or changes in urinary frequency, these could be signs of complications that need to be addressed.

6. General Health Decline: If you feel increasingly unwell or fatigued, it is essential to consult a healthcare provider.

In your case, since you are experiencing new abdominal pain associated with the testicular mass, it would be prudent to seek further evaluation. A larger medical facility may offer more comprehensive diagnostic tools, such as ultrasound imaging or other tests, to determine the nature of the mass and the cause of your abdominal pain.
Additionally, while your doctor prescribed antibiotics, it is essential to ensure that the treatment is appropriate for your condition. If the pain persists or worsens despite antibiotic treatment, further investigation may be necessary to rule out complications such as an abscess or other infections.

In summary, while your initial assessment may have indicated that the mass is not a significant concern, the new symptoms you are experiencing suggest that further evaluation is warranted. It is always better to err on the side of caution when it comes to your health, especially with a history of mumps and epididymitis. Seeking a second opinion or further evaluation at a larger medical facility can provide peace of mind and ensure that any potential issues are addressed promptly.

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