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Epididymitis

more about Epididymitis


  • The epididymides are coiled tubes that bring sperm from the testicles to the urethra (urethra is the passage way that runs the length of the penis).  These tubes in the epididymes are located just above the testicles.  When an infection occurs in the epididymides, it is called epididymitis.
  • It is rare before puberty.

  • Pain in the scrotum
  • Scrotal swelling
  • Penile discharge
  • Pain at tip of penis
  • Fever
  • Pain when urinating
  • Too frequent urination

    1. Gonorrhea
    2. Chlamydia
  • Non-sexually transmitted:
    1. Gram-negative bacteria/urinary tract infections 
    2. Tuberculosis.
    3. Certain drugs such as amiodarone
    4. Congenital (present at birth) abnormalities

  • Examination
    1. Tenderness above the testicles
    2. The pain is reduced with lifting the scrotum.
  • A microscopic urine exam shows bacteria and elevated white blood cell count in the urine.
  • Gram stain and culture of penile discharge
  • Ultrasound of scrotum

  • Immediate antibiotic therapy
  • Start with ampicillin and then change based on the culture and sensitivity
  • Sexually-transmitted forms: A one-time ceftriaxone injection and doxycycline by mouth for 10 days.
  • Non-sexually transmitted: Bactrim, Cipro, or Floxin for 21-28 days
  • Sitz baths (warm tub baths)
  • Scrotal support
  • Treatment of sexual partners if it is a sexually transmitted disease




more about Epididymitis


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