Epididymal-orchitis- Swelling of Epididymis/Testis

What is Epididymal-orchitis?

It is the swelling of the epididymis and/or the testis. It usually occurs as an infection post-surgery, or due to the insertion of a catheter into the bladder, a pre-existing Urinary Tract Infection (UTI), Sexually Transmitted Disease (STD), or in rare cases due to viruses or fungi.

Symptoms of Epididymal-orchitis include swelling and tenderness in the scrotum, fluid build-up around the testes, and in some cases, fever. The pain due to inflammation is usually severe and persistent. If the inflammation is a result of an STD, a discharge is also observed. In certain cases, fluid builds up around the testes and causes an enlarged scrotum – a condition known as a reactive hydrocele.


Diagnosis of Epididymal-orchitis:

It is generally diagnosed by a Doppler ultrasound which assesses the blood flow to the testes and shows blockages due to fluid build-up. It can also be diagnosed by a simple urine analysis which will test for the presence of a UTI depending on which the presence of epididymal-orchitis can be established combined with other presented symptoms. A swab-test may also be performed to determine the presence of an STI to determine a definite cause. If the result of the STI comes back positive, sexual partners need to be tested as well.

The treatment for epididymal-orchitis is fairly simple and is done by a dose of antibiotics, best rest, and pain killers to relieve the pain. Affected individuals are also advised to apply ice packs onto their swollen areas to help numb and relieve pain temporarily. Men are advised to wear scrotum supporting underwear to minimize the discomfort. For an excessive abscess build-up in the scrotum, surgical drainage may be required.

August 12, 2020

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