Epididymitis (epididymis inflammation)
About Epididymitis (epididymis inflammation)
The epididymis is a long coiled tubular structure located next to the 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 & Diagnostics
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.Common tests: Urinalysis (UA), Ultrasound.
Prescription medications
Conventional treatment summary
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.Medical specialties
Internal Medicine · Urology · Pediatrics · Family Practice
This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Epididymitis (epididymis inflammation).