How do you explain epididymitis?
Epididymitis is an inflammation of the small, coiled tube at the back of the testicle (epididymis). Signs and symptoms of epididymitis might include: A swollen, red or warm scrotum. Testicle pain and tenderness, usually on one side, that usually comes on gradually.
What is syphilitic epididymitis?
In the secondary stage of syphilis, lesions of the epididymis are transient and closely follow the course of the skin rash, disappearing spontaneously even in the absence of treatment. Almost invariably symptomless, these lesions may be accidentally discovered by the patient or revealed on clinical examination.
Is epididymitis a clinical diagnosis?
Acute epididymitis is a clinical syndrome causing pain, swelling, and inflammation of the epididymis and lasting <6 weeks (1191). Sometimes a testicle is also involved, a condition referred to as epididymo-orchitis.
How can you tell the difference between epididymitis and orchitis?
Epididymitis is swelling or pain in the back of the testicle in the coiled tube (epididymis) that stores and carries sperm. Orchitis is swelling or pain in one or both testicles, usually from an infection or virus.
What are the signs and symptoms of epididymitis?
Symptoms of epididymitis may include: sudden or gradual pain in 1 or both of your testicles (balls) the bag of skin containing your testicles (scrotum) feeling tender, warm and swollen. a build-up of fluid around your testicle (a hydrocele) that feels like a lump or swelling.
How to treat epididymitis of the scrotum?
Treat orally with doxycycline 100 mg orally twice daily for 10–14 days, or ofloxacin 200 mg orally twice daily for 14 days. If epididymitis is thought to be due to sexually transmitted chlamydia and gonorrhoea and/or enteric organisms:
When to stop treatment for epididymo-orchitis?
Consider other causes, such as mumps orchitis (parotid swelling may be present), Behçet’s syndrome, tuberculosis, or the medication, amiodarone. If mumps orchitis is suspected, see the CKS topic on Mumps. If amiodarone is suspected, reduce the dose or stop treatment.
Can a STI cause epididymitis in a man?
Epididymitis is usually caused by a sexually transmitted infection (STI), such as chlamydia or gonorrhoea. This is more likely in younger men under 35 years old. It can also be caused by a urinary tract infection (UTI), but UTIs are less common in men. A UTI is more likely if you have: an enlarged prostate gland.
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