Epididymis inflammation, which is the tube that connects the testes with the different vessels that carry semen. It is considered the most common cause of scrotal pain in adults.
It is often caused by a sexually transmitted infection. Other causes: trauma and autoimmune diseases.
The symptoms include severe testicular pain, fever, testicular inflammation and a burning sensation when passing urine.
Diagnosis is made by means of a clinical questioning and a physical examination. If it is of infectious origin, it will be confirmed by a blood analysis and a urine and semen culture. Other diagnoses that may entail an urologic emergency must be ruled out (testicular torsion).
The treatment is antibiotic targeted at the bacterium causing the infection. Sexual partners must also undergo treatment.
- Robert C Eyre, MD. Evaluation of the acute scrotum in adults. UpToDate, Abril, 2016.
- Tajchner L. Management of the acute scrotum in a district general hospital: 10-year experience. ScientificWorldJournal 2009; 9:281.
- Wampler SM, Llanes M. Common scrotal and testicular problems. Prim Care 2010; 37:613.
- Trojian TH, Lishnak TS, Heiman D. Epididymitis and orchitis: an overview. Am Fam Physician 2009; 79:583.
- Jeanne M. Marrazzo. Infecciones de transmisión sexual: resumen y estudio clínico. Harrison. Principios de Medicina Interna, 19e. Capítulo 163.
