Clinical presentation Epididymo-orchitis is a condition that presents with pain in the scrotum, often accompanied by swelling. It needs to be differentiated from torsion of the testis by scrotal ultrasound scan. [ww2.health.wa.gov.au]

This presentation helps differentiate epididymitis and orchitis from testicular torsion, which is a surgical emergency. [aafp.org]

Small surrounding hydrocele is present. View larger version (168K) Fig. 11B. —30-year-old man with tuberculosis epididymo-orchitis. [ajronline.org]

• Costovertebral Angle Tenderness

  It is important to check for costovertebral angle tenderness, a sign of concomitant pyelonephritis, and for signs of cystitis by palpating the suprapubic region. [aafp.org]

• Scrotal Pain

  Causes of scrotal pain in children and adolescents. UpToDate. Available at www.uptodate.com. Accessed on January 30, 2013. Ching CB, Sabanegh ES. [5minuteconsult.com]

  If you have any questions, to schedule a consultation or if you need a second opinion, please contact us or call 1-(646) 663-5747 Alex Shteynshlyuger MD is an experienced urologist who treats men with testicular and scrotal pain, epididymitis and epididymo-orchitis [newyorkurologyspecialists.com]

  The patient will develop unilateral (one-sided) scrotal pain, in associated with testicular swelling, fever, discharge from the penis, pain with urination and pain with sexual intercourse. [healthengine.com.au]

  Epididymo-orchitis is the commonest cause of acute scrotal pain and refers to inflammation of the epididymis and testis. [bmj.com]

• Testicular Pain

  If it is left untreated, it could lead to chronic epididymo-orchitis, where persistent testicular inflammation leads to recurring testicular pain. It can also lead to testicular shrinkage or testicular abscess (pus collection within the testicle). [leedssexualhealth.com]

  Testicular torsion should be ruled out in all cases of new-onset testicular pain. Epididymitis usually due to STD in sexually active men Epididymitis usually due to colifor... Brenner JS, Ojo A. Causes of scrotal pain in children and adolescents. [5minuteconsult.com]

  If you have testicular pain, you should contact your doctor right away. And if you experience a sudden onset of testicular pain, you should seek emergency medical care to rule out serious conditions like testicular torsion. [beaumont.org]

  The testicular pain and swelling will last much longer. Untreated infection is more likely to lead to complications such as chronic testicular pain an abscess rarely testicular atrophy and loss of fertility More information www.bashh.org.uk [sexualhealthkingston.co.uk]

  Overview of Testicular Pain Testicular pain, or any pain in one or both sides of the scrotum (sac that holds the testicles), should be taken seriously. Pain in the scrotum can occur in males of any age, including newborns. [wgurology.com]

• Swelling of the Scrotum

  Symptoms may include: Pain and swelling in the scrotum Frequent urge to urinate Discharge from the penis Pain during ejaculation Fever Chronic inflammation is most often the late phase of an acute infection. [veteranshealthlibrary.va.gov]

  Epididymo-orchitis is a condition characterised by pain and swelling in the scrotum. It is caused by infection and inflammation in the epididymis and/or testicle. Epididymitis means inflammation of the epididymis. [sexualhealthdorset.org]

  Call your doctor immediately if you develop pain, tenderness or swelling in your scrotum. Call especially if these symptoms develop rapidly over a few hours. [drugs.com]

  Call your doctor immediately if you develop pain, tenderness or swelling in your scrotum, especially if these symptoms develop rapidly over a few hours. [health.am]

  This is pain and swelling of the scrotum (sac round balls). It is usually caused by an infection in the epididymis, testicle or tubes. What might I notice? Pain, redness or swelling in the scrotum. [sexualhealth.cht.nhs.uk]

• Testicular Mass

  Follow-up Follow-up is recommended three to seven days after initial evaluation and initiation of treatment to evaluate for clinical improvement and for the presence of a testicular mass. 4, 22 With treatment, pain typically improves within one to three [aafp.org]

  Peak systolic velocity threshold of 15 cm/s results in a diagnostic accuracy of 90% for orchitis and 93% for epididymitis.[10] The major clinical differential diagnoses of tuberculous epididymo-orchitis are testicular mass, testicular torsion and bacterial [wajradiology.org]

• Epididymal Swelling

  Chronic epididymitis: The pain occurs only in the scrotal contents, and is less severe and more localized than acute epididymitis. Swelling, tenderness, redness and warmth of the skin do not occur. [brandywineuc.com]

  Acute epididymitis typically presents with symptoms of epididymal swelling, induration, and exquisite tenderness to palpation and may also be accompanied by fever, chills, or dysuria [1]. [hindawi.com]

Surgical indications present Older age group if it is the only way to ensure appropriate workup: Many will have underlying urologic pathology. Systemically ill, fev... Testicular torsion should be ruled out in all cases of new-onset testicular pain. [5minuteconsult.com]

Diagnostic Workup for Testicular Torsion The main diagnostic tool for the evaluation of a suspected case of testicular torsion is history and physical examination. [lecturio.com]

Treatment includes medicine to get rid of the infection. It also includes medicine and other methods to relieve symptoms. Possible treatments Antibiotics. Acute epididymitis is most often treated with oral antibiotics. [saintlukeskc.org]

With the development of the epididymis abscesses in severe cases, removal of the epididymis produce With timely treatment of acute process, a favorable prognosis. If there is no treatment or inadequate treatment, it can lead to infertility. [medusanews.com]

Prognosis With treatment, most cases of mild epididymitis and orchitis can be cured. There is usually no long-term effect on fertility, especially when only one side of the scrotum is involved. [drugs.com]

All providers of pediatric health care should understand the etiology and recognize the presenting signs and symptoms of epididymitis and orchitis, conditions that must be distinguished promptly in the emergency setting to avoid the risk of gonadal loss [pedsinreview.aappublications.org]

In patients with human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome, fungal and viral etiologies, including cytomegalovirus, have been reported. 7, 8 Noninfectious etiologies of epididymitis have been identified in numerous groups [aafp.org]

The authors conclude that further studies on the epidemiology, etiology and pathogenesis of this condition are needed. References [canada.ca]

[…] if symptoms don’t settle with empiric treatment Useful resources: British Association of Sexual Health and HIV guidelines Hepatitis C Screening National Clinical Guideline British Association of Sexual Health and HIV statement on partner notification Epidemiological [hse.ie]

In acute epididymitis, epidemiological data are scanty as well; consequently, the incidence in the general population is unknown. [onlinelibrary.wiley.com]

Introduction Clinical definition inflammation of epididymis with symptoms of 6 weeks Epidemiology incidence 25 per 100,000 persons demographics men 18-35 years old risk factors sexual activity bladder outlet obstruction Etiology pathogens from sexually [medbullets.com]

1 – The structure of the testis and epididymis Classically, these two conditions are thought to occur together (termed epididymo-orchitis), however most cases are solely epididymitis, whilst a sole orchitis is very rare and is mostly of viral origin Pathophysiology [teachmesurgery.com]

Pathophysiology Ascending infection via vas deferens from prostatic Urethra IV. [fpnotebook.com]

Etiology and Pathophysiology Epididymitis is the most common cause of intrascrotal inflammation, 5 and retrograde ascent of pathogens is the usual route of infection. [aafp.org]

Centers for Disease Control and prevention (CDC). Update: mumps outbreak – New York and New Jersey, June 2009-January 2010. MMWR Morb Mortal Wkly Rep. 2010;59(5):125–129. Centers for Disease Control and Prevention (CDC). [cambridge.org]

To prevent the spread of these diseases, all your sex partners should receive antibiotics as well. Intestinal bacteria. A variety of antibiotics work against this type of infection. [drugs.com]

This helps to prevent repeated infections. Useful information For more information visit the British Association of Urological Surgeons. [sexualhealthdorset.org]

Contact tracing is important to prevent reinfection. Always test for other STIs. [ww2.health.wa.gov.au]