Epididymitis

testicular torsion, epididymo-orchitis, epididymis, acute epididymitis, acute scrotum, Chlamydia trachomatis, acute scrotal pain,Neisseria gonorrhoeae, Escherichia coli, E coli, C trachomatis, N gonorrhoeae


Background

Acute symptoms of pain are the main symptoms of epididymitis, testicular tumors and testicular torsion. Acute scrotal pain is the common symptom of epididymitis of acute stae. It is very important to distinguish testicle torsion and acute epididymitis and the treatments for them are very different.

Chlamydia trachomatis is sexually infected and is the cource of acute epididymitis.

There are some complications of epididymitis and orchitis. Infertility, Chronic epididymitis, abscess

Clinical Details

Complains of acute pain in scrotum are observed. Enlarged and tender epididymis that can be separated from the scrotum is examined and to relieve pain scrotum must be elevated.


Ultrasound

If there are some useful clues such as enlarged epididymis and blood flow increase under doppler. The mere blood flow is not strong evidence because it can also happen in normal epidydymis.

Orchitis developed in a third of cases of epididymitis. Testicular enlargement is the symptom. patients with evidence of these conditions should be examined with sonography to find out the exact cause.


Degree of Confidence

Ultrasound is used for imaging for epididymitis and rochitis. The detection of scrotal inflammation is almost a hundred percent.

Examination

diagnosing acute epididymitis require the following, sonography, clinical history taking, and physical examination, they are for detection of epididymitis and orchitis.