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14 Possible Causes for Epididymal Tenderness, Spermatic Cord Tenderness, Urinary Urgency

  • 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] Tract Infection (rare in Testicular Torsion ) Fever Urethra l discharge Urinary Frequency Urinary urgency Dysuria Hematuria X.[fpnotebook.com]

  • 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] Tract Infection (rare in Testicular Torsion ) Fever Urethra l discharge Urinary Frequency Urinary urgency Dysuria Hematuria X.[fpnotebook.com]

  • 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] , 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] Symptoms may include urethral discharge, dysuria, urinary frequency, urgency, itching, orchalgia, menstrual cycle, foreign body.[ugwne.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] There may be fever or urinary urgency or frequency. Nausea is unusual.[aneskey.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] urgency or frequency Painful/burning sensation when urinating Fever Flank or abdominal pain or discomfort In chronic epididymitis, symptoms typically develop over a day or[urologynashville.com]

  • 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] , 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] Epididymal tenderness and induration are present if the patient has epididymitis. The meatus is also inspected for crusting or discharge.[clinicaladvisor.com]

  • Gonococcal Urethritis in the Male

    Fever, epididymal or testicular pain, evidence of NGU Epididymal tenderness or mass. - do - Positive culture or non culture test on epididymal aspirate. 38.[slideshare.net] Tenderness may be elicited on palpation of the testes, spermatic cords, epididymis, and lymph nodes, primarily the inguinal nodes.[infectiousdiseaseadvisor.com] . - On examination – focal urethral tenderness - meatal or penile lesions may mimic herpetic urethritis. 30.  Epididymitis – recurrent infections - Unilateral scrotal pain[slideshare.net]

  • Sexually Transmitted Disease

    In 1% of men, urethritis may lead to epididymitis.[web.archive.org] The spermatic cord is usually tender and swollen.[cdc.gov] Blood in the urine, urinary urgency (feeling an urgent need to urinate), and increased urinary frequency can occur if the urethra is infected.[medicinenet.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] […] 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]

  • Torsion of the Hydatid of Morgagni

    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] cord veins Predominantly left sided Mass of varicose veins (“bag of worms”) above testicle Non tender More prominent with standing Refer to Paediatric Surgery OPC – consider[rch.org.au] […] tract symptoms such as increased frequency, dysuria and urgency.[racgp.org.au]