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Epididymitis is a medical condition characterized by inflammation of the epididymis, a curved structure at the back of the testicle. [1] Onset of pain is typically over a day or two. [1] The pain may improve with raising the testicle. [1] Other symptoms may include swelling of the testicle, burning with urination, or frequent urination. [1]
Orchitis can be related to epididymitis infection that has spread to the testicles (then called "epididymo-orchitis"), sometimes caused by the sexually transmitted infections chlamydia and gonorrhea. It has also been reported in cases of males infected with brucellosis. [2] Orchitis can also be seen during active mumps, particularly in ...
1.1 Infection. 1.1.1 Aetiological agents. 1.1.1.1 Bacterial. 1.1.1.2 ... An example of a male genital disease is orchitis. [citation needed] Classification by ...
It is often accompanied by symptoms of a urinary tract infection, fever, and in over half of cases it presents in combination with orchitis. [7] In those between the ages of 14 and 35 it is usually caused by either gonorrhea or chlamydia. In people either older or younger E. coli is the most common bacterial infection. [7]
Chronic infectious epididymitis is rare. [13] Some signs and symptoms include localized tenderness and swelling in the epididymis, which are different from any tenderness/abnormality present in the testis, these are usually not found in lower urinary tract. Chronic infectious epididymitis may be diagnosed in healthy adolescents as well as men.
According to Prehn's sign, the physical lifting of the testicles relieves the pain of epididymitis but not pain caused by testicular torsion. [ 4 ] Negative Prehn's sign indicates no pain relief with lifting the affected testicle, which points towards testicular torsion which is a surgical emergency and must be relieved within 6 hours.
Post-vasectomy pain syndrome (PVPS) is a chronic and sometimes debilitating genital pain condition that may develop immediately or several years after vasectomy. [1] [2] [3] Because this condition is a syndrome, there is no single treatment method, therefore efforts focus on mitigating/relieving the individual patient's specific pain.
Most cases of epididymitis are secondary to sexually transmitted disease or retrograde bacteria infection from the urinary bladder. [6] The infection usually begins in the epididymal tail and spreads to the epididymal body and head. Approximately 20% to 40% of cases are associated with orchitis due to direct spread of infection into the testis.