Testicular Changes After Epididymitis: What to Know

After epididymitis, the left testicle has become smaller and softer?

A few years ago, I experienced testicular pain for an unknown reason and sought medical attention.
The doctor diagnosed me with epididymitis, and after treatment, I largely recovered.
The doctor informed me that after the swelling of the testicle subsided, it would feel hard and recommended applying heat to help it soften over time.
However, a few weeks later, I noticed that the left testicle felt like just a soft mass, but I did not experience any abnormal symptoms (such as ejaculation issues or pain).
I would like to ask the doctor what this could mean and whether I need to seek treatment at the hospital again.

A-Sang, 10~19 year old female. Ask Date: 2024/05/07

Dr. Li Xinyi reply Urology

Based on your description, it seems that the left testicle may have atrophied.
However, a detailed evaluation can only be conducted through an in-person examination at a urology clinic.

Reply Date: 2024/05/07

More Info

Epididymitis, an inflammation of the epididymis, can lead to various changes in the testicles, and it is not uncommon for patients to experience lingering effects even after the acute phase of the condition has resolved. Your experience of having a firm left testicle after treatment for epididymitis is not unusual, and there are several factors to consider regarding the changes you are observing.

Firstly, after an episode of epididymitis, it is common for the affected testicle to feel different. The inflammation can cause swelling and changes in the texture of the tissue. Even after the inflammation subsides, some patients may notice that the affected testicle feels firmer or has a different consistency compared to the unaffected side. This change can be due to residual scarring or fibrosis in the epididymis or testicular tissue, which may take time to resolve.

The fact that you describe the left testicle as "soft" but without any accompanying symptoms such as pain, discomfort, or issues with ejaculation is a positive sign. It suggests that there may not be an active infection or acute inflammation present. However, it is essential to differentiate between normal post-epididymitis changes and potential complications, such as the development of a testicular mass or a hydrocele (fluid accumulation around the testicle).

In some cases, patients may develop a condition known as "post-epididymitis syndrome," where they continue to experience changes in the testicle even after the initial inflammation has resolved. This can include changes in size, consistency, or sensation. While these changes can be benign, they warrant careful monitoring.

If you are concerned about the changes you are experiencing, it is advisable to consult with a healthcare professional, preferably a urologist. They can perform a physical examination and may recommend imaging studies, such as an ultrasound, to assess the structure of the testicle and epididymis. An ultrasound can help identify any abnormalities, such as fluid collections, masses, or other structural changes that may require further evaluation or treatment.

In summary, while it is not uncommon to experience changes in the testicle following an episode of epididymitis, it is essential to remain vigilant and seek medical advice if you notice any new symptoms or if the changes persist. Regular follow-up with your healthcare provider can help ensure that any potential complications are addressed promptly and that your reproductive health is maintained.

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