What is Epididymitis?
Medikoe Health Expert
Koramangala, bengaluru, karnataka, india, Bengaluru Jan 22, 2019
It is an inflammation of the coiled tube at the back of the testicle that stores and carries sperm. It can develop at any age.
Causes of Epididymitis
It is caused by bacterial infection, including STIs, such as gonorrhea or chlamydia.
- STIs: Chlamydia and Gonorrhea are the most common causes of epididymitis in young men, especially who are sexually active.
- Trauma: Epididymitis can also be a result of a groin injury.
- Urine in the Epididymis (Chemical Epididymitis): when the flow of urine is backward into the epididymis, you may discover chemical epididymitis. This condition is caused by heavy lifting or straining.
- Tuberculosis: In a few cases, epididymitis can also a result of tuberculosis infection.
- Other Infections: Prostate infection or bacteria from urinary tract may spread from the infected area to the epididymis. Furthermore, viral infections including the mumps virus can also trigger epididymitis.
Its risk factors include:
- Sex with a partner who has an STI
- Sex without a condom
- A history of STIs
- Risk factors for non-sexually transmitted epididymitis include:
- History of prostate or urinary tract infections
- History of medical procedures that affect the urinary tract
- An uncircumcised penis or an anatomical abnormality of the urinary tract
- Prostate enlargement
Symptoms of Epididymitis
- A swollen, red or warm scrotum
- Testicle pain and tenderness
- Painful urination or an urgent or frequent need to urinate
- Discharge from the penis
- Pain or discomfort in the lower abdomen or pelvic area
- Blood in the semen
- Less commonly, fever
The doctor will check for enlarged lymph nodes in groin and an enlarged testicle on the affected side. The doctor will also perform a rectal examination to check for prostate enlargement or tenderness.
The doctor may recommend one or more tests which include:
- Urine Sample: You need to submit your pee into a cup so that your doctor can check the signs and symptoms of an infection.
- Swab Sample: In this test, your doctor may insert a narrow swab into the tip of your penis to collect the sample of discharge. This test is performed to check symptoms for Gonorrhoea or Chlamydia.
- Blood Sample: This test is performed to find any abnormalities.
- Ultrasound: Your doctor may perform an ultrasound test in which sound waves are used to produce an image of your testicles and scrotum.
To treat epididymitis and epididymal-orchitis antibiotics are needed. If the cause of the bacterial infection is an STI, your partner also needs treatment.
If an abscess has formed than might be surgery is needed to drain it.
Pain Management for Epididymitis
To reduce the pain, you should take proper rest, and warm tub soaks. Pain medication can also help in lowering your temperature and strain.
Prevention of Epididymitis
Practice safer sex. You should inform your partner and seek treatment. Furthermore, if you are sexually active within 60 days before the development of symptoms, then there are chances that the infection has been spread to your partner. Hence, you and your partner should get tested.
The condition gets worse if left untreated. Also, it can damage your testicles and result in infertility.