Epididymitis (Testicle Organ Inflammation)
Description
The epididymis is a long coiled tubular structure located next to the testicle. Inflammation of the epididymis may occur, producing testicular pain and fever. Infection is the most common cause and the bacteria normally come from the urethra or bladder.
Symptoms
Testicular pain, scrotal swelling, fever, urethral discharge, blood in semen.
Tests
A history and physical exam will be performed. A urinalysis (UA) and urethra culture are done. If testicular torsion is a consideration a testicular ultrasound may be ordered.
- UA
- Ultrasound
Treatment
Antibiotics are prescribed. If the infection is felt to be sexually transmitted treatment for chlamydia and gonorrhea is typically given and the sexual partners are treated as well to prevent recurrence. Pain medicines and/or nonsteroidal anti-inflammatory medications/NSAIDs (ibuprofen/Motrin or Advil, naproxen/Naprosyn), pain medications such as acetaminophen (Tylenol) are given for comfort.
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