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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 ]
In the US, it is the second-most-common bacterial sexually transmitted infections; chlamydia remains first. [ 74 ] [ 75 ] According to the CDC African Americans are most affected by gonorrhea, accounting for 69% of all gonorrhea cases in 2010.
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 ...
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 ...
Chlamydial infection is the most common bacterial sexually transmitted infection in the UK. [54] Chlamydia causes more than 250,000 cases of epididymitis in the U.S. each year. Chlamydia causes 250,000 to 500,000 cases of PID every year in the United States.
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If scrotal pain decreases, it is more likely to be due to epidiymitis rather than torsion (Prehn's sign). 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.
Pain experienced due to chronic epididymitis is usually more dull compared to acute epididymitis and can be intermittent. Typically, this condition is caused by a bacterial infection including a urinary tract infection or a sexually transmitted disease (such as chlamydia and gonorrhea).