Epididymitis - Orchiepididymitis (Paediatrics)

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It is an inflammation of the epididymis, the tube that connects the testicles to the various vessels that carry sperm.

The most common cause is an infection. Other causes include trauma, autoimmune diseases and urogenital malformations.

Symptoms include severe testicular pain, fever, swelling or inflammation of the testes and burning when urinating.

Diagnosis is made by clinical interview and physical examination. The infection is confirmed by analysis and culture of urine and semen. It is important to rule out other diagnoses that could lead to a urological emergency (testicular torsion, etc.).

Treatment is with antibiotics that target the bacteria causing the infection.

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

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