-IBIS-1.5.0-
tx
reproductive system
epididymitis
diagnoses
definition and etiology
definition:
Infection of the epididymis.
etiology:
Epididymitis is typically secondary to infection of the urethra or prostate. The microorganisms usually involved in sexually active men under the age of 30 are C. trachomatis (70-80%) and Neisseria gonorrhea (10%), while in older men or following catheterization the associated microorganism is usually Pseudomonas aeruginosa.
signs and symptoms
signs and symptoms:
Although it can be bilateral, epididymitis is usually unilateral.
In men less than 35 years old:
Urethritis with discharge.
Fever.
Pain in the scrotum.
Swelling, tenderness and induration of the scrotum.
History of recent mumps parotitis.
In older men:
Pyuria.
Infected urine.
History of a urinary procedure.
Preceding urologic conditions e.g. BPH
No urethral symptoms.
lab findings:
Culture and/or stain of urethral discharge.
course and prognosis
Conventional treatment is antibiotics, and bed rest. Prognosis is usually good; however, if the mumps caused bilateral testicular atrophy, then sterility is common. In chronic cases, vasectomy or epididymectomy are conventional treatments.
differential diagnosis
Testicular torsion.
Trauma.
Tumor.
footnotes