Category Archives: Epididymitis
Epididymitis ( ˌɛpɪˌdɪdəˈmaɪtɪs, ěp’ĭ-dĭd’ə-mī’tĭs, EP-ə-DID-ə-MEYE-tis) is a medical condition characterized by discomfort or pain in of the epididymis, a curved structure at the back of the testicle in which sperm matures and is stored. Epididymitis is usually characterized as either acute or chronic: if acute, the onset of testicular pain is often accompanied by swelling, redness, and warmth in the scrotum; if chronic, pain may be the only symptom. In either form, testicular pain in one or both testes can vary from mild to severe.
Epididymitis is the most frequent cause of acute onset scrotal pain in adults. In contrast with men that have testicular torsion, the cremasteric reflex (elevation of the testicle in response to stroking the upper inner thigh) is not altered. If the diagnosis is not entirely clear from the patient’s history and physical examination, a Doppler ultrasound scan can confirm increased flow of blood to the affected epididymis (whereas tortion is characterized by ischemia).
Epididymitis can be related to orchitis, when the inflammation has spread to the testicles (then called epididymo-orchitis or orchiepididymitis).
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