Epididymitis – What It Is, Causes, Symptoms and Treatments


Epididymitis – What it is, Causes, Symptoms and Treatments of this condition. In addition, Epididymitis  is characterized by inflammation of the epididymis. It suddenly appears, the body temperature rises to 39-40 degrees. Appears pain and swelling in the scrotum with defeat, the epididymis increase several times, redness of the skin of the scrotum.

Often combined with inflammation of the testis (orchiepididymitis). Can develop bilateral disease of the appendages, a chronic form of Epididymitis , obstruction flow, can generate infertility.

As a general rule, as regards urologists recommend people with this condition to perform outpatient treatment, hospitalization is required only in case of complications. In acute epididymitis  requires rest, antibacterial and local treatment; Abscess is an indication for surgical incision and drainage of an abscess.

What is Epididymitis?

The epididymitis  is an inflammation  of the epididymis – the duct that connects the testes to the vas deferens – that can affect a man at any age – with an increased incidence in people between 20 and 39 – as well as the circumcised people, who have suffered interventions using catheters that have problems with your urinary tract or have unprotected sex.

In some cases this inflammation  may extend to the testicles : in this case we speak of the epididymis-orchitis.

Causes of Epididymitis:

In sexually active men under 35 years of age, Epididymitis  is usually caused by C. trachomatis or N. gonorrheae and is usually associated with urethritis. In men who practice active anal intercourse, Epididymitis  is usually caused by Enterobacteriaceae. Other causes of Epididymitis  may be:

Urinary tract surgeries ;


Take medicines like amiodarone.

Epididymitis Symptoms:

It may start with a low fever, chills and heaviness in the testis area . The area will become more sensitive to pressure and become painful as the disease progresses. An infection in the epididymis can easily spread to the testis .

Other symptoms include:

Blood in semen

Secretion of the urethra (the opening at the tip of the penis)

Discomfort in the lower abdomen or pelvis;


Lump near the testis ;

Pain during ejaculation

Pain or burning during urination;

Painful scrotal swelling (epididymis is enlarged);

Tender, swollen and groin painful area on the affected side;

Pain in the testicles  that gets worse during a bowel movement .

Epididymitis Risk Factors:

Risk factors for Epididymitis  are:

Sex with a partner with some STD ;

Sex  without a condom;

Personal history of STDs ;

History of urinary tract or prostate infections;

History of medical procedures affecting the urinary tract, such as catheter insertion into the penis;

Penis not circumcised or with anatomical abnormalities;

Enlarged prostate, which increases the risk of infections.

Diagnosis of Epididymitis:

Diagnosis is achieved through detailed physical examination, along with urinalysis, Doppler ultrasound, computed tomography or magnetic resonance imaging to eliminate other possible causes of scrotal pain, and testing for sexually transmitted diseases in sexually active men.

Treatments For Epididymitis:

Treatment, which is primarily aimed at relieving signs and symptoms, consists of bed rest, use of braces to keep the scrotum elevated, ice or cold compresses on the scrotum area, and medication to reduce inflammation , fever. and the pain.

In addition, if the infection is of bacterial origin, appropriate antibiotics should be prescribed.

On the other hand, when the problem is a complication of  treatment-related low urinary tract infections , a surgical intervention may be resorted to, in which case the vas deferens should be connected, which usually constitutes the way of entry of microorganisms.


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