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Epididymitis makes up 1 in 144 visits for medical care (0.69 percent) in men 18 to 50 years old or 600,000 cases in males between 18 and 35 in the United States. [6] It occurs primarily in those 16 to 30 years of age and 51 to 70 years. [6]
Epididymitis and epididymo-orchitis are common causes of acute scrotal pain in adolescent boys and adults. At physical examination, they usually are palpable as tender and enlarged structures. Clinically, this disease can be differentiated from torsion of the spermatic cord by elevation of the testes above the pubic symphysis.
4: Body of epididymis 5: Tail of epididymis 6: Duct of epididymis 7: Deferent duct (ductus deferens or vas deferens) Prehn's sign (named after urologist Douglas T. Prehn) [1] is a medical diagnostic indicator that was once believed to help determine whether the presenting testicular pain is caused by acute epididymitis or from testicular ...
Testicular sarcoidosis can present as a diffuse painless scrotal mass or can mimic acute epididymo-orchitis. Usually, it appears with systemic manifestations of the disease. [ 3 ] Since it causes occlusion and fibrosis of the ductus epididymis, fertility may be affected. [ 4 ]
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 ...
Epididymal cysts is a mass that forms in the epididymis. [10] These cysts differ from spermatoceles as they contain clear fluid, rather than seminal fluid. In addition, spermatoceles are more likely to be found on the head of the epididymis. [19] Other abnormalities can be detected during male genital examination including Peyronie's disease.
Secondary hydrocele is most frequently associated with acute or chronic epididymo-orchitis. It is also seen with torsion of the testis and with some testicular tumors. A secondary hydrocele is usually lax and of moderate size: the underlying testis is palpable. A secondary hydrocele subsides when the primary lesion resolves. [citation needed]
Mondor's disease is a non-common disease [4] Peyronie's disease is diagnosed when there is evidence of scar tissue formation within the tunica albuginea , tissue which contributes to the maintenance of the erectile state [ 5 ]