Is it possible to have painless epididymitis, and what are possible causes?

Doctor's Answers 1

Epididymitis or inflammation of the epididymis is commonly painful, especially in acute epididymitis. Painless epididymitis is most commonly caused by tuberculosis of the epididymis.

Painless epididymitis is usually a type of chronic epididymitis and if there is suspicion of this condition, we would have to rule out tuberculosis of the urinary tract, also known as GUTB (genitourinary tuberculosis).

Untreated GUTB can have serious repercussions eg stritures or narrowing of the ureters and potential damage to the kidneys.

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As compared to LASIK patients, why do Epi-LASIK patients tend to have residual degree instead of perfect eyesight after surgery?

Actually, the basis of your question ie that epi-LASIK patients tend to have residual degree as compared to LASIK patients is not necessarily true. For example, in this Cochrane Database Review meta-analysis comparing LASIK with PRK (which is the same as epi-LASIK) https://www. ncbi. nlm. nih. gov/pubmed/23440799, the authors concluded that 'The two techniques appear to give similar outcomes one year after surgery.

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Dr Samuel Ho

Plastic Surgeon

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