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11 Possible Causes for Epididymal Tenderness, Perineal Pain, Spermatic Cord Tenderness

  • Acute Epididymitis

    The scrotum should be examined for a tender spermatic cord, which is suggestive of epididymitis.[aafp.org] Signs There may be tenderness over the groin (spermatic cord), the scrotum is usually enlarged, and the overlying skin may be red.[doctortipster.com] Sudden pain in the scrotum, rapid unilateral scrotal enlargement, and marked tenderness of the testes, spermatic cord, and groin are characteristic manifestations.[healthcentral.com]

  • Orchitis and Epididymitis

    The scrotum should be examined for a tender spermatic cord, which is suggestive of epididymitis.[aafp.org] , Perineal or pelvic pain, Cloudy urine - VERY tender prostate - Enlarged, firm, warm prostate What defines chronic prostatitis Prostatitis 3 mo (May exist for several years[quizlet.com] The spermatic cord is usually tender and swollen.[cdc.gov]

  • 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] […] and scrotal pain referred to both lower limbs intermittently predominantly during and after micturition-simulating features of bilateral intermittent testicular torsion.[ncbi.nlm.nih.gov] , 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]

  • 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] […] and scrotal pain referred to both lower limbs intermittently predominantly during and after micturition-simulating features of bilateral intermittent testicular torsion.[ncbi.nlm.nih.gov] The prenatal diagnosis of spermatic cord torsion is often really difficult and the diagnosis is usually retrospective.[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] […] and Groin Pain: Myofascial syndromes The myofascial syndrome is a term used to describe the type of pain some men experience in their testicles, groin and prostate.[affiliatesinurology.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]

  • Epididymitis

    Patient usually presents with epididymal tenderness and swelling, scrotal swelling and redness, fever and possibly urethral discharge.[rxmed.com] […] or painful/burning urination (from infection of the bladder, called cystitis); fever, perineal pain, urinary frequency, urinary urgency or painful/burning urination (from[brandywineuc.com] The spermatic cord is usually tender and swollen.[cdc.gov]

  • Orchitis

    The scrotum should be examined for a tender spermatic cord, which is suggestive of epididymitis.[aafp.org] Presenting signs and symptoms are recurrent bladder infection, perineal pain, dysuria, or infertility.[ncbi.nlm.nih.gov] […] of epididymis, /- testicle tender and swollen spermatic cord exclusion of testicular torsion fever hydrocele signs of urethritis in sexually-acquired epididymo-orchitis.[sahealth.sa.gov.au]

  • Sexually Transmitted Disease

    In 1% of men, urethritis may lead to epididymitis.[web.archive.org] Providers should be alert to the possible diagnosis of chronic prostatitis/chronic pelvic pain syndrome in men experiencing persistent perineal, penile, or pelvic pain or[cdc.gov] The spermatic cord is usually tender and swollen.[cdc.gov]

  • Idiopathic Scrotal Edema

    Soft, non-tender swelling adjacent to testis Testis normal within hydrocele, non-tender Transilluminates brightly Resorb and tunica vaginalis closes spontaneously in the[rch.org.au] Its main symptoms are scrotal pain, scrotal, perineal, and inguinal swelling and erythema. The laboratory findings in these patients are usually unremarkable.[sonoworld.com] A thickened, tender spermatic cord suggests a testicular torsion (spermatic cord torsion) while tenderness alone may indicate epididymitis.[urologyweb.com]

  • Leukorrhea

    Diagnostic Considerations Men who have acute epididymitis typically have unilateral testicular pain and tenderness; hydrocele and palpable swelling of the epididymis usually[cdc.gov] Providers should be alert to the possibility of chronic prostatitis/chronic pelvic pain syndrome in male patients experiencing persistent pain (perineal, penile, or pelvic[cdc.gov] The spermatic cord is usually tender and swollen.[cdc.gov]

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