Description The epididymis is a...
Description
The epididymis is a long coiled tubular structure located next to each testicle. Inflammation of the epididymis may produce testicular pain and fever. Infection is the most common cause and the bacteria normally come from the urethra or bladder.
Symptoms
Testicular pain, scrotal swelling, fever, discharge from the penis (urethral discharge), blood in the semen, painful urination, frequent urination, painful ejaculation, lower abdominal pain.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be performed. A urinalysis (UA) and urethra culture are done. If testicular torsion is a consideration a testicular ultrasound may be ordered.
Tests:
Urinalysis (UA), Ultrasound
Other Specific Tests: Urethral culture
Specialists:
Internal Medicine, Urology, Pediatrics, Family Practice
Workup:
A history and physical exam will be performed. A urinalysis (UA) and urethra culture are done. If testicular torsion is a consideration a testicular ultrasound may be ordered.
Tests:
Urinalysis (UA), Ultrasound
Other Specific Tests: Urethral culture
Specialists:
Internal Medicine, Urology, Pediatrics, Family Practice
Treatment
Antibiotics are prescribed. If the infection is felt to be sexually transmitted treatment for chlamydia and gonorrhea is typically given and the sexual partners are treated as well to prevent recurrence. Pain medicines and/or nonsteroidal anti-inflammatory medications/NSAIDs (ibuprofen/Motrin or Advil, naproxen/Naprosyn), pain medications such as acetaminophen (Tylenol) are given for comfort.