Testicular Epididymitis

Posted by Healthfitline On Thursday, January 24, 2013
Epididymitis is the infection of an epididymis. Epididymis is  found at the posterior lateral side of the testis with its main purpose been to collect and store sperm, produced by testicles before an ejaculation. In older adults, epididymits occurs as a result of prostatitis, BPH or an urinary tract infection that descend downwards to the testis. 
 
In young male who are still on their pre-puberty stage, it is most commonly caused by E-coli. In male below 35 years old, the main cause of epididymitis is Chlamydia Trachomatis; a gram negative bacteria  that is responsible for Chlamydia - a sexually transmitted disease. It can also develop from gonorrhea infection as a complication. 
 
Epididymitis Symptoms
  • Initially, the patient complains of pain and soreness, occuring only on one side along the vas deferens, followed by a swollen and a tender epididymis. Other symptoms include; 
  • Pain and swelling in the scrotum that slowly get worse.
  • Fever and chills
  • Increase in urinary frequency and urgency.
  • Pain during urination.
  • Pus or discharge coming from the penis.

Epididymitis Diagnostic Tests
Epididymitis is diagnosed by use of the following tests;
  • Physical examination
  • Urinalysis
  • Complete blood tests
  • Culture and gram staining of the urethra drainage.
  • Testing of sexually transmitted diseases like HIV, gonorrhea, syphilis for sexually active individuals.
  • Ultrasound may be performed to rule out tumor and other conditions.

Epididymitis Treatment
The kind of treatment given depends on what is causing the infection, if the infection is caused by bacteria like Chlamydia Trachomatis, the infected patient plus his sexual partner are treated with antibiotics.  The patient is then observed for atleast 2 weeks and if no improvement occurs, he is further evaluated for other medical conditions, such as testicular tumor. Pain relievers are also prescribed.
 
For patient with recurrent infection or painful chronic infections that does not respond to treatment, epididymectomy (removal of epididymis from the testis) may be performed.

Other non-pharmaceutical ways and health education given to the patient include;
  • Patients are advised to take a bed rest.
  • Patients are advised to keep the scrotum elevated to relieve pain and prevent traction.
  • Use of intermittent cold compress to relieve pain and discomfort.
  • Patients are advised to avoid straining, lifting or sexual stimulation until fully recovered.
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Epididymitis Complication
Possible complications associated with epididymitis include;
  • Scrotal abscess formation
  • Infertility if the infection occurs in both testis.
  • Decreased blood flow to the testis due to cord swelling leading to necrotic of testis.
  • Chronic or recurrent epididymitis infection. 

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