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24 Possible Causes for Epididymal Tenderness, Spermatic Cord Tenderness, Testicular Swelling

  • Orchitis and Epididymitis

    The scrotum should be examined for a tender spermatic cord, which is suggestive of epididymitis.[aafp.org] The spermatic cord is usually tender and swollen.[cdc.gov] […] of the epididymis Tender and swollen spermatic cord Swollen Scrotum, reddening and fever in case of advanced inflammation Intact cremasteric reflex, Prehn's sign is not reliable[urology-textbook.com]

  • 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]

  • 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] The prenatal diagnosis of spermatic cord torsion is often really difficult and the diagnosis is usually retrospective.[ncbi.nlm.nih.gov] What Are the Symptoms of Testicular Torsion? Testicular torsion is characterized by excruciating one-sided testicular pain , with sudden swelling.[emedicinehealth.com]

  • 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] At operation, we found his left spermatic cord to be twisted 90 degrees counterclockwise and appendix epididymis 180 degrees counterclockwise.[ncbi.nlm.nih.gov] testicular pain and swelling) is similar to that of a patient with testicular torsion.[aafp.org]

  • Spermatocele

    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] Signs and Symptoms Painless testicular swelling Positive transillumination Seldom: disturbing size or pain Diagnosis of Spermatoceles Ultrasound imaging: Ultrasound imaging[urology-textbook.com] Cystic testicular mass caused by dilated rete testis: Sonographic findings in 31 cases. AJR Am J Roentgenol. 1992;158:1257-1259.[appliedradiology.com]

  • Epididymitis

    Patient usually presents with epididymal tenderness and swelling, scrotal swelling and redness, fever and possibly urethral discharge.[rxmed.com] The spermatic cord is usually tender and swollen.[cdc.gov] Age at presentation and likelihood of testicular swelling or hydrocele was not different between children with and without UTAs.[ncbi.nlm.nih.gov]

  • Testicular Injury

    Testicular torsion Within the scrotum, the testicles are secured at one end by a structure called the spermatic cord.[my.clevelandclinic.org] […] of the groin Worsening testicular swelling Worsening testicular tenderness Worsening swelling and redness of the scrotum Worsening swelling and redness of the skin around[firstaidservices.ca] […] of bleeding, the formation of hematomas and progressive testicular swelling.[symptoma.com]

  • 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] 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] , often in the lower abdomen, perineal palpable and testicular mass; testicular torsion, the testicular elevation was transverse or epididymis in front of the testis, Thicker[healthfrom.com]

  • Orchitis

    The scrotum should be examined for a tender spermatic cord, which is suggestive of epididymitis.[aafp.org] […] 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] A 65-year-old Kuwaiti man with poorly controlled diabetes mellitus presented with a painful left testicular swelling of 1 year duration.[ncbi.nlm.nih.gov]

  • 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] […] torsion (a twisting of the spermatic cord).[babycenter.com] If the mass extends into the scrotum, consider a hydrocele, varicocele, or a testicular mass.[teachmesurgery.com]

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