Epididymitis - Orchiepididymitis (Pediatrics - PEDS)

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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. 

Bibliographic references
  1. Robert C Eyre, MD. Evaluation of the acute scrotum in adults. UpToDate, Abril, 2016.
  2. Tajchner L. Management of the acute scrotum in a district general hospital: 10-year experience. ScientificWorldJournal 2009; 9:281.
  3. Wampler SM, Llanes M. Common scrotal and testicular problems. Prim Care 2010; 37:613.
  4. Trojian TH, Lishnak TS, Heiman D. Epididymitis and orchitis: an overview. Am Fam Physician 2009; 79:583.
  5. Jeanne M. Marrazzo. Infecciones de transmisión sexual: resumen y estudio clínico. Harrison. Principios de Medicina Interna, 19e. Capítulo 163.
Author
Dr. Maria Trabazo
Copyright
© TeckelMedical 2026

Symptoms

    Testicular pain


    Scrotum is swollen, hot and red


    Scrotum is painful to the touch


    Testicular region is tender, swollen and/or with a feeling of heaviness


    Groin pain

Pre-hospital care recommendations

Take over-the-counter pain relievers or anti-inflammatories.
Apply cold compresses 3 times a day for 20 minutes to reduce the symptoms.