Epididymitis

Epididymitis: Description, Causes and Risk Factors:Epididymitis is a painful condition caused by inflammation of the epididymis, which carries and stores sperm. It is located in the scrotum next to the testicle. Epididymitis is most common in young men. It may be caused by a sexually transmitted infection, although other sources of infection are possible.Most cases of epididymitis are caused by bacterial infection. Some of the causes include:Urinary tract infections.
  • Sexually transmitted diseases (STIs), such as Chlamydia and Gonorrhoea.
  • In children and older men, E. coli (Escherichia coli) and similar infections are much more common.
  • Recent genitourinary surgery, including prostatectomy.
  • The use of urinary catheters.
  • Some congenital kidney and bladder.
Risk Factors:Only men can develop this condition.
  • Age: 15-30 or over 60
  • Unprotected sex.
  • Infection of the genitourinary tract (bladder, kidney, prostate, or testicle).
  • Narrowing of the urethra.
  • Use of a urethral catheter.
  • Infrequent emptying of the bladder.
  • Recent surgery or instrumentation of the genitourinary tract.
  • Birth defects of the genitourinary tract.
  • Disease that affects the immune system
Symptoms:EpididymitisTenderness.
  • Palpable.
  • Urethral.
  • Hydrocele.
  • Erythema.
  • Fever and chills.
  • Abdominal pain.
  • Bone pain.
  • Groin pain.
  • Pain during the ejaculation.
Diagnosis:Physical examination shows a red, tender, and sometimes swollen lump on the affected side of the scrotum. Tenderness is usually in a small area of the testicle where the epididymis is attached.Diagnosis and Tests May Include:Urinalysis—to check for a high white blood cell (WBC) count and the presence of bacteria.
  • Urine culture —to identify the type of bacteria present.
  • Culture of discharge from penis.
  • Blood test—to measure the white blood cell count (WBC).
  • Ultrasound—a test that uses sound waves to examine the scrotum.
  • Testicular scan.
Treatment:Eliminating the infection.Antibiotics are prescribed. The exact antibiotic depends on the identified or most likely cause of the infection. Make sure to finish the antibiotic prescription, even if symptoms have gotten better. Stopping treatment too early may allow the infection to come back. If the epididymitis is from a STD, sexual partners may need to be tested and treated as well.Bed rest, while elevating the scrotum and applying ice packs to the area, is recommended. It is very important to have a follow-up visit with your health care provider to find out whether the infection has gone away completely.Disclaimer: The above information is educational purpose. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition.DISCLAIMER: This information should not substitute for seeking responsible, professional medical care.

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