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35 Possible Causes for Epididymal Tenderness, Inguinal Lesions, Spermatic Cord Tenderness

  • Funiculitis

    Doctors Conclusions: 1.Acute Epididymitis 2.Tenderness 3.Swellen And started Following treatment before test result comes. 1.Clavam 625 ---2 times X 5 Days 2.Hetrazan 100[medhelp.org] Symptoms: Signs and Symptoms may include: Inguinal lesions. Acute scrotum syndrome. Scrotal edema/swelling. Scrotal pain. Spermatic Cord Mass. Swelling of scrotum.[medigoo.com] Clinical evaluation Sometimes urethral swab and urine culture Diagnosis of epididymitis is confirmed by finding swelling and tenderness of the epididymis.[msdmanuals.com]

  • Testicular Torsion

    Adult Epididymis, onset over days Fever, dysuria Cremasteric reflex present Epididymal tenderness with or without testicular tenderness WBC, LE, nitrites Body of testis similar[cdemcurriculum.com] […] duct remnants Thyroid disease Prenatal Conditions Disorders of sex development Fetal lung treatment Congenital diaphragmatic hernias Gastroschisis Imperforate anus Lung lesions[phoenixchildrens.org] There was slightly thickened and tender left spermatic cord. Hematological investigations were normal except for mild leukocytosis. Urine examination was normal.[saudijhealthsci.org]

  • Torsion of the Appendices and Epididymis

    Adult Epididymis, onset over days Fever, dysuria Cremasteric reflex present Epididymal tenderness with or without testicular tenderness WBC, LE, nitrites Body of testis similar[cdemcurriculum.com] In addition, the testis and its investments are dissected out intact, to minimize tumor spillage during surgery and spermatic cord ligation is done in the inguinal region[auanet.org] At operation, we found his left spermatic cord to be twisted 90 degrees counterclockwise and appendix epididymis 180 degrees counterclockwise.[ncbi.nlm.nih.gov]

  • Direct Inguinal Hernia

    Differential Diagnosis of Groin and Scrotal Masses Diagnosis Clinical presentation Ectopic testis Absence of a testis in the scrotum Epididymitis Severe pain surrounding the[aafp.org] In contrast to indirect inguinal hernias in which simple high ligation of the sac may suffice to produce surgical cure, these infrequent lesions require fascial repair, even[jamanetwork.com] The examination of the right testes, epididymis, spermatic cord and contralateral inguino-scrotal region was within normal limits.[ijcasereportsandimages.com]

  • Testicular Injury

    In early epididymitis, the epididymis exhibits tenderness and induration, but the testis itself is not tender.[aafp.org] In addition, the testis and its investments are dissected out intact, to minimize tumor spillage during surgery and spermatic cord ligation is done in the inguinal region[auanet.org] Testicular torsion Within the scrotum, the testicles are secured at one end by a structure called the spermatic cord.[my.clevelandclinic.org]

  • Spermatocele

    It should be remembered that the chronic inflammation of tuberculosis also may produce a tender enlargement of the epididymis ( Figure 2 ). FIGURE 2. Epididymitis.[aafp.org] Failure to transilluminate suggests a solid lesion, which warrants further evaluation, including scrotal ultrasonography and possible inguinal exploration. [14, 15, 16] Indications[emedicine.medscape.com] These diagnoses include inguinal hernia, inflamed inguinal lymph node, rectus sheath hematoma, cryptorchidism, mass derived from the spermatic cord, and polyorchidism.[ncbi.nlm.nih.gov]

  • Spermatic Cord Injury

    There is a swollen, tender testis retracted upwards. Lifting the testis up over the symphysis increases pain, whereas in epididymitis this usually relieves pain.[patient.info] The chest-abdominal CT scan showed a heterogeneous right supratesticular mass, essentially suety tissue, measuring 84 78 72 mm, without metastatic lesions. c Inguinal area[karger.com] Woodworth, who stated that appellant apparently suffered trauma to the spermatic cord structure, that he definitely had local pain and tenderness in the left epididymis at[dol.gov]

  • Chlamydial Urethritis

    For cystitis: Check for presence of suprapubic or lower abdominal tenderness, no costovertebral angle tenderness, no epididymal tenderness or prostatic tenderness on exam.[clinicaladvisor.com] […] adenopathy Prostate: Palpate for tenderness or bogginess suggestive of prostatitis Rectal: During the digital rectal examination, note any perianal lesions Examine female[emedicine.medscape.com] […] abscess formation and inflammation of neighboring structures (i.e., epididymitis, prostatitis) or disseminated gonococcemia with skin lesions.[atsu.edu]

  • Seminal Vesiculitis

    The posterior aspect of the testis reveals the swollen and very tender epididymis. The entire organ or part of it can be affected.[fertilitysolution.com] Contrast-enhanced axial CT images from cranial (A) to caudal (C) levels show a tubular lesion (arrows) with wall thickening and intraluminal air that extends from the pelvic[slideshare.net] Full scrotal examination is important to evaluate for inflammation; infection; and masses of the testes, epididymis, and spermatic cords. 14 Rectal examination is needed to[aafp.org]

  • Urethritis

    For cystitis: Check for presence of suprapubic or lower abdominal tenderness, no costovertebral angle tenderness, no epididymal tenderness or prostatic tenderness on exam.[clinicaladvisor.com] Lesions and nits may be seen in pubic hair if pubic lice are also present.[infectiousdiseaseadvisor.com] , or warmth suggestive of abscess or for firmness suggesting foreign body Testes: Examine for evidence of mass or inflammation; palpate the spermatic cord, looking for swelling[emedicine.medscape.com]