The epididymis a long, coiled tube at the back of each testicle can get inflamed. Etiology and treatment are based on patient age and the likely causative organisms. Here we intend to present a case of young boy, not sexually active, suffering from acute epididymoorchitis. Epididymitis is most common in young men, for the simple reason that younger males tend to have more sex. Most bacterial orchitis is the result of severe bacterial epididymitis extending to the testis epididymoorchitis. Men can have either acute or chronic versions of epididymitis.
Consider chlamydia trachomatis infection in the younger male population. Doctors use the term itis to mean that an organ is inflamed. Left testicle had swollen up twice the size of right. The epididymis is a thin, coiled tube that sits on top of a male testicle. The bacteria in the urethra backtrack through the urinary and reproductive structures to the epididymis. If the testis is involved, the condition is called epididymoorchitis. According to the centers for disease control and prevention cdc, acute epididymitis consists of pain, swelling, and inflammation of the epididymis lasting less than 6 weeks.
I have had a heck of a time with epididymitis and now orchitis over the last 6 months. Bladder outlet obstruction and urogenital malformations are risk factors for this type of infection. Doctor answers on symptoms, diagnosis, treatment, and more. Acute epididymitis is signaled by sudden and severe symptoms. Epididymitis treatments include antibiotics and antiinflammatories which can be prescribed to reduce inflammation and fight off the infection. Most patients with epididymitis and orchitis can be treated in an outpatient setting with close followup. Talk with your health care provider about taking an antiinflammatory medicine. The stated scenario indicated youve been treated for epididymitis. In most cases scrapings need to be done to confirm the. A case of acute epididymoorchitis due to pseudomonas.
The information below will give you a head start in learning more about these conditions and aid in you in your discussions with a urologist. In sexually active men older than 35 years, the most common cause is chlamydia trachomatis and neisseria gonorrhoeae. Rarely, the infection reaches the epididymis via the bloodstream. The epididymis is a long, tightly coiled tube that lies above and behind each testicle. Ibuprofen advil, motrin, and others is used most often, but other medicines may work as well or better, and they will not upset your stomach. There can be associated urethritis inflammation of the urethra. The symptoms can occur through swelling and pain in the epididymis. The testicles are the pair of organs that sit in the sac below a mans penis.
Epididymitis is a common inflammatory condition of the epididymis, a coiled tube located in the back portion of the testicle. Acute eididymoorchitis is the most common cause of intrascrotal inflammation, and retrograde ascent of pathogens is the usual route of infection. Epididymitis orchitis urology associates of mobile. Inflammation and infection of the epididymis is called epididymitis what causes epididymitis. Both testicles may be affected by orchitis at the same time. A bacterial infection is the most common cause of epididymitis. Fungal infections can be treated with anti fungal creams, powders, or anti fungal tablets. This is the place the sperm is conveyed and put away and this is situated at the back of the testicle. Surgery may be necessary in the event of necrosis, a scrotal abscess, or if the epididymitis is due to underlying defects such as an enlarged prostate. Epididymitis is a clinical diagnosis, but testicular torsion should be excluded by ultrasound because it has a similar presentation and is a. Epididymitis is an inflammation of the epididymis that is commonly associated with genitourinary tract infections. Infection that is severe and extends to the adjacent testicle is termed acute epididymoorchitis. If the cause is an std, your partner will also need to be treated. Men of all ages can have this disease but 19 to 35 years of age men are more inclined to this infection.
Epididymitis, epididymoorchitis, epididymoorchitis, orchitis and epididymitis, infective epididymitis. This page includes the following topics and synonyms. Acute epididymoorchitis aeo is an acute inflammatory disease of the epididymis and ipsilateral testis. Treating underlying bladder obstruction problems e.
C 24 if epididymitis is thought to be caused by gonococcal or chlamydial infection, treatment should include ceftriaxone rocephin, a single 250mg dose intramuscularly, and doxycycline vibramycin, 100 mg orally twice daily for 10 days. The typical presentation involves gradual onset of pain and swelling of the affected side of the scrotum as well as a positive prehn sign. Epididymitis presents as the gradual onset of posterior scrotal pain that may be accompanied by urinary symptoms such as dysuria. Pdf acute epididymoorchitis aeo is an acute inflammatory disease of the epididymis and ipsilateral testis. Any treatment suggestions would be most appreciated. Epididymitis is an inflammation or infection of the epididymis. If you are a male and experiencing pain the scrotum or testicle, then it might be attributed to epididymitis, orchitis or a combination of the two.
Contrastenhanced ct a, b shows thickened and engorged left spermatic cord, with inhomogeneous vascularisation of the ipsilateral epididymis thin arrows and testis arrows. Epididymitis, orchitis most cases of epididymitis, with or without orchitis, are caused by common urinary pathogens. Urology associates of mobile is the leader in urological care throughout alabama and mississippi. An infection in the male reproductive system antiinflammatory medicine can be very helpful in epididymitis.
Orchitis develops in 20 to 25% of males with mumps. Granulomatous epididymitis is not uncommon after bcg a treatment for bladder cancer and can get worse with each treatment do a urine culture for diagnosis and std evaluation c. Sexually transmitted epididymitis usually is accompanied by urethritis, which frequently is asymptomatic. Since the most common cause for acute cases is a sexually transmitted infection, safer sex e. Epididymitis knowledge for medical students and physicians. However, the symptoms are usually in just one testicle. Epididymitis, whether inflammatory or infectious in origin, typically has an acute onset, with unilateral scrotal pain and swelling that increases over 1 or 2 days. It collects and stores maturing sperm made by the testicles prior to ejaculation. Treatment of epididymitis involves the use of antibiotics. The epididymis is the coiled tube on top of each testicle where sperm are moved from the testicle and stored. So, youre advised to collect the features of degree, duration, or interval over time of testicular pain with its detailed sequence of events.
Inflammation of the epididymis, or epididymitis, is commonly seen in the outpatient setting. The epididymis is responsible for transporting and storing maturing sperm. Epididymitis presents as the gradual onset of posterior scrotal pain that may be accompanied by urinary symptoms such as dysuria and. Treatment should be started immediately after diagnosis and includes antibiotics. Commonly associated symptoms include dysuria and other lower urinary tract symptoms. The type of antibiotics depends on the underlying infection.