It could be Epididymitis
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Epididymitis
Classification and external resources
1: Epididymis
2: Head of epididymis
3: Lobules of epididymis
4: Body of epididymis
5: Tail of epididymis
6: Duct of epididymis
7: Deferent duct (ductus deferens or vas deferens)ICD-
10N45.0ICD-
9604DiseasesDB4342eMedicinemed/704 radio/261 emerg/166MeSHD004823Epididymitis is a
medical condition in which there is
inflammation of the
epididymis (a curved structure at the back of the
testicle in which
sperm matures and is stored). This condition may be mildly to very
painful, and the
scrotum (sac containing the testicles) may become red, warm and swollen. It may be acute (of sudden onset) or rarely chronic.
Epididymitis is the most frequent cause of
sudden scrotal pain. In contrast with men who have
testicular torsion, the
cremaster reflex (elevation of the testicle in response to stroking the upper inner thigh) is not altered. If the diagnosis is not entirely clear from the patient's
history and
physical examination, a
Doppler ultrasound scan can confirm increased flow of blood to the affected epididymis.
Infection is the most common cause. In sexually active men,
Chlamydia trachomatis is the most frequent causative microbe, followed by
E. coli and
Neisseria gonorrhoeae. In children, it may follow an infection in another part of the body (for example, a viral illness), or there may be an associated
urinary tract anomaly. Another cause is sterile reflux of urine through the
ejaculatory ducts.
Antibiotics may be needed to control a component of
infection. Treatment otherwise comprises
pain killers or
anti-inflammatory drugs and
bed rest if necessary, and symptom control by resting the scrotum in a supported position