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Epididymitis

Topic Overview

What is epididymitis?

The epididymis is a long, tightly coiled tube that lies above and behind each testicle. It collects and stores maturing sperm made by the testicles prior to ejaculation. Inflammation and infection of the epididymis is called epididymitis.

What causes epididymitis?

The causes of epididymitis vary depending on your age and behavior. In children it is most commonly associated with urinary tract infections. In young, sexually active men, it is often linked to sexually transmitted infection. And in older men it is often caused by enlargement of the prostate gland. Bacterial infections, possibly spread from the rectal area or following a urological procedure, also may cause epididymitis. And an injury to the groin may cause epididymitis.

What are the symptoms?

Pain, tenderness, and swelling in the scrotum (epididymides or testicles) that gradually get worse are the most common symptoms of epididymitis. Other symptoms may include fever and chills, frequent or painful urination, or a discharge from the penis.

How is epididymitis diagnosed?

Epididymitis is diagnosed using a physical exam and a medical history. A culture of discharge from the penis is done to check for a bacterial infection, such as a sexually transmitted infection. And a urinalysis and urine culture are done to check for a urinary tract infection. You may also have a blood test to check for an elevated white cell count and an ultrasound or nuclear medicine test to make sure that you do not have torsion of the testicle, an emergency condition that causes loss of blood flow to the testicles and requires urgent surgical treatment. These tests are also used to make sure that you do not have a tumor.

How is it treated?

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.

If you have symptoms of epididymitis, reduce the risk of spreading a possible infection to your partner by avoiding sexual intercourse until you can be examined by your doctor. It is important for sex partners to be evaluated and treated for a possible infection.

Other Places To Get Help

Organizations

American Academy of Family Physicians: FamilyDoctor.org
P.O. Box 11210
Shawnee Mission, KS 66207-1210
Phone: 1-800-274-2237
Fax: (913) 906-6075
Web Address: www.familydoctor.org
 

The website FamilyDoctor.org is sponsored by the American Academy of Family Physicians. It offers information on adult and child health conditions and healthy living. There are topics on medicines, doctor visits, physical and mental health issues, parenting, and more.


AUA Foundation: The Official Foundation of the American Urological Association
1000 Corporate Boulevard
Linthicum, MD  21090
Phone: 1-800-828-7866
Phone: (410) 689-3700
Fax: (410) 689-3998
Email: auafoundation@auafoundation.org
Web Address: www.urologyhealth.org
 

UrologyHealth.org is a website written by urologists for patients. Visitors can find specific topics by using the "search" option.

The website provides information about adult and pediatric urologic topics, including kidney, bladder, and prostate conditions. You can find a urologist, sign up for a free quarterly newsletter, or click on the Urology A–Z page to find materials about urologic problems.


References

Other Works Consulted

  • Nguyen HT (2008). Bacterial infections of the genitourinary tract. In EA Tanagho, JW McAninch, eds., Smith's General Urology, 17th ed., pp. 193–218. New York: McGraw-Hill Medical.

Credits

By Healthwise Staff
Primary Medical Reviewer E. Gregory Thompson, MD - Internal Medicine
Specialist Medical Reviewer Christopher G. Wood, MD, FACS - Urology, Oncology
Last Revised September 7, 2012

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