Epididymitis can show a normal ultrasound. When patients experience symptoms, they can seek herbal medicine Diuretic and Anti-inflammatory Pill to get a cure.

1. Normal Ultrasound in
Epididymitis:
Unraveling the Hidden
Causes
Wuhan Dr.Lee’s TCM Clinic

2. Ultrasound is a valuable tool for diagnosing
epididymitis, an inflammation of the epididymis.
However, it may fail to detect certain cases,
especially chronic or latent forms of the condition.
Here's what an ultrasound typically looks for in
epididymitis:

3. Ultrasound Findings in Epididymitis
1. Increased Epididymal Blood Flow
The epididymis normally has relatively low blood flow. However,
inflammation causes increased blood flow to the area, which can
be detected on ultrasound.
2. Grid-like Pattern in the Epididymis
Ultrasound may reveal a grid-like pattern in the epididymis,
indicating obstruction and dilation of the epididymal ducts due
to inflammation and thickening.

4. While ultrasound is generally useful for diagnosing
epididymitis, it can miss some cases, especially if
the onset is insidious or the disease process is
prolonged. In such instances, doctors must combine
ultrasound findings with other tests and clinical
assessments to make an informed diagnosis.

5. Conditions That May Cause Epididymitis with
Normal Ultrasound
If the ultrasound appears normal despite symptoms of
epididymitis, the underlying cause may be one of the
following conditions:

7. Chronic Epididymitis
Untreated acute epididymitis can become
chronic, with intermittent episodes and no
distinct mass formation. This can lead to
prolonged inflammation and impaired sperm
quality. Treatment may involve antibiotics like
ceftriaxone or levofloxacin, or herbal remedies
like Diuretic and Anti-inflammatory Pill to
reduce side effects and prevent relapse.

8. Epididymal Tuberculosis
Caused by Mycobacterium tuberculosis, this
condition leads to caseous necrosis and nodular
changes in the epididymis, obstructing blood flow
and causing pain. Anti-tuberculosis drugs like
isoniazid and rifampicin are used for treatment.

9. Epididymal Cyst
Fluid accumulation due to partial duct obstruction
can form a cyst in the epididymis, causing
discomfort as it expands. Small, asymptomatic cysts
may only require monitoring, while larger or
symptomatic ones may need surgical excision.

10. Epididymal Tumors
Both benign (e.g., adenoma) and malignant
(e.g., carcinoma) tumors can occur in the
epididymis, causing compression and irritation.
Complete surgical removal of the affected
epididymis may be necessary.

11. Prostatitis
Inflammation of the prostate can affect the epididymis, causing
discomfort. Antibiotics like amoxicillin or levofloxacin may be
prescribed, along with herbal remedies like Diuretic Anti-
inflammatory Pill for chronic cases.

12. To accurately identify the underlying cause and
guide appropriate treatment, additional tests
like blood work, urinalysis, or MRI may be
required in cases of epididymitis with normal
ultrasound findings. Patients should maintain
good genital hygiene, wear loose underwear,
and attend regular follow-ups to monitor their
condition.

13. If you have questions about your condition
and treatment, contact our experts. Most
questions are answered in 24 hours.
wuhandrli@gmail.com
herbalistlee@yahoo.com
wuhandrlee@hotmail.com