It is the inflammation of the epididymis, which is the duct that connects the testicles with the vas deferens that carry the semen.
The most frequent cause is infectious. Other causes: trauma, autoimmune diseases and genitourinary malformations.
Symptoms include severe testicular pain, fever, testicular swelling and burning with urination.
It is diagnosed by clinical questioning and physical examination. If the cause is infectious, it is confirmed by blood tests and urine and semen cultures. It is important to rule out other diagnoses involving a urological emergency (testicular torsion).
Treatment is antibiotic treatment directed at the causative bacteria.
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