Can A Urinalysis Detect Epididymitis?

Date:2021-07-27 click:
Epididymitis is a common disease of males. Because of low immunity, pathogenic bacteria such as Escherichia coli, Staphylococcus, and Streptococcus will enter the vas deferens, and retrogradely invade the epididymis, thus cause inflammation. In general, patients with epididymitis will have induration, which mostly occurs in the head or tail of the epididymis. 
 
 

 
Can a urinalysis detect epididymitis?
 
Urinalysis is a preliminary examination that cannot be ignored in clinical practice. It is often an important clue to the pathological process. In the diagnosis of epididymitis, it can be judged by the changes of urine white blood cells in the urine routine examination. 
 
There are a small number of white blood cells in the urine of normal people, and the number of centrifugal urine does not exceed 5 per high-power field. But when it is abnormal, the urine contains a large number of white blood cells, indicating that the urinary tract has purulent lesions. Patients with epididymitis may have white blood cells or pus cells in the urine routine examination. 
 
However, urinalysis can only detect whether the urinary system is inflamed or not, it cannot directly confirm the presence of epididymis. In addition, there are fewer medical examinations for health certificates, mainly for infectious diseases. If epididymitis cannot be detected, it is recommended to perform color Doppler ultrasonography of the scrotum to confirm the diagnosis and identify whether is testicular or epididymal torsion. 
 
Since urinalysis cannot detect epididymitis, what tests should patients do?
 
1. Diagnose based on the symptoms of epididymitis. If a man has epididymitis, the scrotum will suddenly become very painful after heavy physical work, and the pain will gradually spread to the groin area and lumbosacral area. When the patient touches scrotum, the pain will intensify. At the same time, the scrotum will gradually become swollen, which doubles the size of the epididymis within 3-4 hours. This is also a comparison for judging whether a patient has epididymitis.
 
2. Epididymitis laboratory examination. If the male laboratory examination finds that the white blood cells in the peripheral blood reach (2~3)×109/L, the chance of suffering from epididymitis is very high. In addition, the secretion of the male urethra can also be taken.
 
3. Ultrasonic examination of epididymitis can show the swelling and inflammation of the epididymis and testis.
 
4. Magnetic resonance examination of epididymitis. When epididymitis is diffuse or focal, the epididymal signal on the T2-weighted image can be the same as or higher than that of the testis.
 
In general, diagnosing epididymitis is not a very difficult thing. One of the key points in the examination is that the patient himself should observe carefully. If something is wrong, go to the hospital for examination and treatment immediately. After diagnosing epididymitis, Diuretic and Anti-inflammatory Pill can be taken to sterilize and reduce swelling, which can effectively treat epididymitis. If the disease is serious, the patient can treated by surgery.
 
Recommended Readings:
 
Epididymitis -- A Common Disease In Young And Middle-aged Men
Is Cold Compress Effective to Treat Epididymitis?
Five Treatments for Epididymitis Besides Antibiotics

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