I have been diagnosed with epididymitis in the right testicle. In children and older men it is more commonly associated with organisms that cause urinary tract infections. The usual treatment is antibiotics, pain medicine and bed rest.
Acute epididymitis can also cause infertility and chronic pain.
The cause of chronic epididymitis is less clear. It may represent a stubborn infection. It may also be the result of not treating acute epididymitis soon enough. It is just as painful, and usually will not respond to treatment with antibiotics. The current allopathic treatment is to keep giving antibiotics anyway.