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Epididymitis is the most common cause of scrotal pain in adults. It is the inflammation of the epididymis, which is the tube that connects the testes with the different vessels that carry sperm. The most common cause is a sexually transmitted infection. Other causes: trauma, autoimmune diseases. The symptoms are severe testicular pain, fever, swelling or testicular inflammation, stinging during urination. Diagnosis is made by means of a clinical interview and physical examination. It is important to rule out other diagnoses that may entail a urological emergency (testicular torsion, etc.) The infection will be confirmed by analysis and cultures. The treatment is antibiotic treatment targeted at the bacterium causing the infection. Sexual partners must also undergo treatment.
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Dr. Patricia Sánchez
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