EPIDIDYMITIS

Overview & Facts

Epididymitis is the inflammation and infection of the epididymis. The epididymis is a tube that is connected each testicle and extends into another tube called vas deferens. It collects and stores maturing sperm made by the testicles prior to ejaculation.

Possible causes of epididymitis:

  • urinary tract infections in children
  • sexually transmitted infection in sexually active men
  • enlargement of the prostate gland in older men
  • bacterial infections, possibly spread from the rectal area or following a urological procedure
  • injury to the groin

Types & Symptoms

  • Pain, tenderness, and swelling in the scrotum (epididymides or testicles)
  • Fever and chills
  • Frequent or painful urination
  • Discharge from the penis

Diagnosis & Medications

Diagnosis

A physical exam and a medical history can diagnose epididymitis. There are a few laboratory test that can be done in order to diagnose and know the specific cause of epididymitis, such laboratory tests are:

  • a culture of discharge from the penis
  • urinalysis
  • urine culture
  • blood test for an elevated white cell count
  • ultrasound or nuclear medicine test to

 

Recommended Medications

Antibiotics are used to treat epididymitis. Supportive measures, such as bed rest with elevation of the hips and anti-inflammatory medicines (such as ibuprofen or ketoprofen), may help relieve discomfort caused by epididymitis.

Avoid sexual intercourse in order to prevent the spread of infection. Sexual partner should also be properly evaluated because the partner may also be infected.

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