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Good evening, I am Dr Ruff, thank you for contacting us this evening.
I am sorry to hear you keep getting this.
Any pain in the epididymis can certainly be very uncomfortable able, and if this has recently come on then you would suspect an infection again therefore I would discuss with them about this. However if this is recurrent and longer term, you should request a testicular ultrasound to look for epididymal cysts and possible a varicoceole that can cause similar pain. The management of all of these potential differential diagnoses are different hence the importance of getting this examined and possible investigated.
Ciprofloxacin would be a reasonable antibiotic to try given what you have had already.
That is my pleasure, persistant cysts are surgically removed if they were thought to be the cause of this. I would get an updated ultrasound. I think what I am suggesting for cysts in unlikely to require surgical intervention but it is certainly done in some circumstances