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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]
Testicular pain may not be caused by just one thing. "Testicular pain can be multifactorial," Dr. Brahmbhatt says. "More than 30 percent of the time, we never figure out the exact cause of the pain.
The differential diagnosis of testicular pain is broad and involves conditions from benign to life-threatening. The most common causes of pain in children presenting to the emergency room are testicular torsion (16%), torsion of a testicular appendage (46%), and epididymitis (35%). [4] In adults, the most common cause is epididymitis. [citation ...
About 40% of people require removal of the testicle. [2] It is most common just after birth and during puberty. [2] It occurs in about 1 in 4,000 to 1 in 25,000 males under 25 years of age each year. [2] [3] Of children with testicular pain of rapid onset, testicular torsion is the cause of about 10% of cases. [2]
Macroorchidism is a disorder found in males, specifically in children, where a subject has abnormally large testes.The condition is commonly inherited in connection with fragile X syndrome (FXS), which is also the second most common genetic cause of intellectual disability. [1]
In men, discharge with or without burning occurs in half of all cases and is the most common symptom of the infection. [22] This pain is caused by a narrowing and stiffening of the urethral lumen. [23] The most common medical complication of gonorrhea in men is inflammation of the epididymis. [21]
A nearly 100% salvage rate exists within the first 6 hours after the onset of symptoms; a 70% rate, within 6–12 hours; and a 20% rate, within 12–24 hours. Therefore, testicular torsion is a surgical emergency and the role of ultrasound is to differentiate it from epididymitis as both disease presents with acute testicular pain clinically.
Most men should start getting screened when they reach 50, and Black men, people with a family history of prostate cancer, and others with a higher risk should get screened starting at 40.
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