Materiały źródłowe

• #1 Epididymitis – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK430814/

  Epididymitis is an inflammation of the epididymis, a tubular structure on the testis where sperms mature. […] The patient will likely complain of scrotal pain and swelling, quite often gradual in onset rather than acute. It may begin with flank pain that migrates to the scrotum. […] Epididymitis is the most common cause of acute scrotal pain in adults. More than 600,000 men are affected yearly in the United States. […] The outcomes for most men with epididymitis are excellent, but relapses may occur in patients who are not compliant with therapy. […] Epididymitis if not treated properly or promptly can lead to the following complications: Infection of the epididymis can lead to the formation of an epididymal abscess. Progression of the infection can lead to the involvement of the testicle, causing epididymo-orchitis or a testicular abscess.

• #1 Epididymitis: An Overview | AAFP

  https://www.aafp.org/pubs/afp/issues/2016/1101/p723.html

  Epididymitis presents as the gradual onset of posterior scrotal pain that may be accompanied by urinary symptoms such as dysuria and urinary frequency. […] In acute epididymitis, pain and scrotal swelling are present for less than six weeks. Chronic epididymitis lasts longer than three months and is usually characterized by pain in the absence of scrotal swelling. […] Acute epididymitis generally presents as unilateral pain and inflammation in the scrotum. […] Acute epididymitis generally presents as the gradual onset of posterior scrotal pain and swelling over one to two days. There may be concurrent symptoms of fever, hematuria, dysuria, and urinary frequency, and the pain may radiate into the lower abdomen. […] Epididymitis improves within two to three days of antibiotic treatment, but residual pain may persist for several weeks.

• #1 Epididymitis And Orchitis – Harvard Health

  https://www.health.harvard.edu/a_to_z/epididymitis-and-orchitis-a-to-z

  Symptoms of epididymitis and orchitis can include: […] pain, swelling and tenderness in your scrotum. Only one side of the scrotum is affected. […] pain that at first is most intense at the back of one testicle. Within a few hours the pain spreads to the entire testicle, the overlying scrotum, in some cases, the groin. […] inability to walk without limping because of pain. […] redness and heat in the painful area. […] burning when you urinate. […] an accumulation of watery fluid in the scrotum. […] fever, chills and a burning sensation during urination. […] a clear, white or yellow abnormal discharge from the tip of your penis. […] In most cases of mild bacterial epididymitis, pain decreases within one to three days after you start taking antibiotics. However, swelling in the scrotum and testicle may last for several weeks.

• #1 Epididymitis and Orchitis: An Overview | AAFP

  https://www.aafp.org/pubs/afp/issues/2009/0401/p583.html/1000

  Epididymitis and orchitis typically present with a gradual onset of scrotal pain and symptoms of lower urinary tract infection, including fever. […] In acute epididymitis, symptoms are present for less than six weeks and are characterized by pain and swelling. Chronic epididymitis is characterized by pain, generally without swelling, that persists for more than three months. […] Patients with epididymitis usually present with gradual onset of pain that is localized posterior to the testis and that occasionally radiates to the lower abdomen. Although patients often have unilateral pain that begins in the epididymis, the pain can spread to the adjacent testis. Symptoms of lower urinary tract infection, such as fever, frequency, urgency, hematuria, and dysuria, may be present. […] With treatment, pain typically improves within one to three days, but it may take two to four weeks for induration to fully resolve.

• #1 Epididymitis Clinical Presentation: History, Physical Examination

  https://emedicine.medscape.com/article/436154-clinical

  Gradual onset of scrotal pain and swelling, often developing over several days (as opposed to hours, as in testicular torsion) […] Usually located on 1 side […] Dysuria, frequency, and/or urgency […] Fever and chills (in only 25% of adult patients with acute epididymitis but in up to 71% of children with the condition) […] Usually no nausea or vomiting (as opposed to testicular torsion) […] Urethral discharge preceding the onset of acute epididymitis (in some cases) […] The patient has a long-standing history of pain (6 wk) that can be described as either waxing and waning or constant […] The scrotum is not usually swollen but may be indurated in long-standing cases […] Tenderness and induration first occur in the epididymal tail, which may be the first site of reflux via the vas deferens. It then appears to spread to the body, head, and even the spermatic cord (funiculitis) or the ipsilateral testis (epididymo-orchitis). Acute epididymitis is bilateral in 5-10% of affected patients […] Erythema and mild scrotal cellulitis may be present, while a reactive hydrocele is common in patients with advanced epididymo-orchitis, complicating scrotal examination […] Orchitis is found in association with acute epididymitis in 20-40% of cases.

• #1 Epididymitis | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/epididymitis

  Symptoms of epididymitis might include: A swollen, discolored or warm scrotum […] Testicle pain and tenderness, usually on one side, that often comes on slowly […] Pain when you pass urine […] An urgent or frequent need to urinate […] Discharge from the penis […] Pain or discomfort in the lower abdomen or pelvic area […] Blood in the semen […] Less commonly, fever. […] Symptoms of chronic epididymitis might come on slowly.

• #1 Epididymitis – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/epididymitis/symptoms-causes/syc-20363853

  Epididymitis is an inflammation of the coiled tube, called the epididymis, at the back of the testicle. […] Symptoms of epididymitis might include: A swollen, discolored or warm scrotum, Testicle pain and tenderness, usually on one side, that often comes on slowly, Pain when you pass urine, An urgent or frequent need to urinate, Discharge from the penis, Pain or discomfort in the lower abdomen or pelvic area, Blood in the semen, Less commonly, fever. […] Epididymitis that lasts longer than six weeks or that happens over and over again is considered chronic. Symptoms of chronic epididymitis might come on slowly. Sometimes the cause of chronic epididymitis isn’t able to be found.

• #1 Epididymitis | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/epididymitis

  Epididymitis is inflammation of the epididymis, usually caused by an infection. […] The symptoms of epididymitis include: swollen (enlarged), red or warm testicle, feeling of heaviness in the affected testicle, tenderness or pain in the affected testicle, pain in the abdomen or pelvis, frequent urge to urinate, burning feeling when urinating, discharge from the penis, blood in the urine, pain when ejaculating, slight fever, chills. […] Some people develop chronic epididymitis which is inflammation even when there is no infection. […] Chronic epididymitis is difficult to treat.

• #1 Epididymitis: Signs, Diagnosis, and Treatment

  https://www.msurology.com/articles/epididymitis-signs-diagnosis-and-treatment

  Symptoms of epididymitis are noticeable typically within 24 hours of contracting the infection. The first sign of inflammation begins in the vas deferens, which is a small duct that transports sperm to the urethra. From here, the inflammation will spread to the epididymis itself. Because of the direction in which the inflammation spreads, the first sign of epididymitis is often abdominal or flank pain. Following this descent, the testicles will begin to swell. […] The next noticeable symptom is often scrotal pain or swelling, and patients may see the scrotum enlarge to four times its size as the bacterial infection spreads. Other noticeable symptoms of testicular infection include: Pain or burning during urination, Discharge from the urethra (this symptom is connected to epididymitis caused by sexually transmitted diseases), Fever and chills, Nausea and vomiting, Blood in the semen or the urine.

• #1 Content – Health Encyclopedia – University of Rochester Medical Center

  https://www.urmc.rochester.edu/encyclopedia/content?contenttypeid=160&contentid=60

  Symptoms can occur a bit differently in each child. They can include: Pain and swelling in the testicles […] Symptoms can include pain, swelling, fever, and fluid leaking from the urethra. […] If not treated, epididymitis can become chronic. This means inflammation, pain, and other symptoms dont go away.

• #1 Epididymitis and Orchitis | Brandywine Urology Consultants

  https://www.brandywineuc.com/urological-condition/epididymitis-and-orchitis/

  Epididymitis symptoms occur not only from the local infection, but also from the original source of the infection. Common symptoms from the original source of the infection include: testicular pain, urethral discharge and urethral pain or itching, pelvic pain, urinary frequency, urinary urgency, painful/burning urination, fever, perineal pain, and flank pain. In some cases, pain in the scrotum from the local infection is the only noticeable symptom. The pain starts at the back of one testicle but can soon spread to the entire testicle, the scrotum and occasionally the groin. Swelling, tenderness, redness, firmness and warmth of the skin may also accompany the pain. In acute epididymitis the urine is usually infected with bacteria and may have symptoms of a urinary tract infection. […] Chronic epididymitis symptom is dull pain only in the scrotal contents and is less severe and more localized than acute epididymitis. There is no swelling, tenderness, redness and warmth of the skin of the scrotum.

• #1 Epididymitis: Causes, Symptoms, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/17697-epididymitis

  Epididymitis symptoms may include: […] Pain in your scrotum, which may move to the rest of your groin. The pain may be on one side or both sides, and may be mild or severe. […] Swollen testicles. […] Fever and chills. […] Pain when you pee (dysuria). […] Blood in your semen (hematospermia). […] Without treatment, epididymitis can cause complications, like an abscess in your scrotum. Your scrotal skin can also open up or break because of swelling and infection. […] In rare cases, epididymitis can cause male infertility problems. You can help prevent these complications by seeking treatment as soon as you notice symptoms. […] Bacteria causes most cases of epididymitis. Bacterial epididymitis cases wont go away on their own. Its important to talk to a healthcare provider as soon as you notice symptoms to get proper treatment and avoid further complications. […] Most people who get treatment for epididymitis start to feel better after about three days. But your symptoms may continue for weeks or even months after treatment. […] If symptoms return, follow up with a healthcare provider. They can rule out other conditions that affect your testicle.

• #1 Epididymitis –

  https://purclinic.com/epididymitis/

  Epididymitis is generally characterized by symptoms of pain, swelling and tenderness in the scrotum. […] Symptoms of epididymitis may vary depending on its cause. These symptoms may include: Chills or fever, Warmth, tenderness or swelling of the scrotum or pain behind the testicle, Pain during intercourse or with ejaculation, Pain or burning during urination, Blood in the semen, Lower abdominal or pelvic pain, Urethral discharge, Lump on or near the testicle, Testicular pain that increases during bowel movements. […] Epididymitis may begin with a low-grade fever, chills, and a sensation of testicular heaviness. As the epididymis progresses, the infection usually spreads to the testicle, resulting in increased pressure and pain and the manifestation of more of the above symptoms.

• #1 Epididymitis Causes and Symptoms and How It Is Treated

  https://www.verywellhealth.com/faq-about-epididymitis-2328529

  Epididymitis is characterized by pain, redness, and swelling, usually in one testicle only. […] Epididymitis can be classified as acute if it lasts less than six weeks and chronic if it lasts more than six weeks. Most untreated cases clear in fewer than six weeks. […] Acute and chronic epididymitis can both manifest with some or all of the following signs and symptoms: Pain and pressure in the testicle (usually one), Redness, warmth, and swelling of the scrotum, Lower abdominal or pelvic pain, A feeling or hardened coil near the testicle, Pain with urination, The need to urinate frequently, Pain during sex, Pain with ejaculation, Swollen lymph nodes in the groin, Discharge from the penis, Blood in semen. […] Although many cases of epididymitis clear on their own, the damage it can cause can be extreme. […] Chronic epididymitis may cause permanent obstruction of the epididymis, leading to reduced fertility and hypogonadism (low testosterone production).

• #1 Epididymitis | Radiology Reference Article | Radiopaedia.org

  https://radiopaedia.org/articles/epididymitis?lang=us

  Epididymitis (plural: epididymitides) refers to inflammation of the epididymis and may be associated with inflammation extending to the testis, in which case the term epididymo-orchitis is used. This should be distinguished from isolated orchitis, which is, by comparison, much less common. […] The clinical spectrum ranges from mild tenderness to a severe febrile process with acute unilateral scrotal pain. […] The infection usually originates in the bladder or prostate gland, spreads through the ductus deferens and the lymphatics of the spermatic cord to the epididymis, and finally reaches the testis, causing epididymo-orchitis. Due to this progression, infection starts in the tail of the epididymis. […] The epididymal tail is the most affected region, and reactive hydrocele and scrotal wall thickening are frequently present. As the infection spreads, it can ascend the body and later the head of the epididymis. […] The vast majority of patients are managed with simple analgesia and oral antibiotics.

• #1 Chronic Epididymitis: A Practical Approach to Understanding and Managing a Difficult Urologic Enigma

  https://pmc.ncbi.nlm.nih.gov/articles/PMC1553215/

  Men diagnosed with chronic epididymitis generally present with either unilateral or bilateral scrotal pain that can be localized to either a normal- or abnormal-feeling epididymis. […] Many patients with chronic epididymitis also have associated testicular pain. Chronic testicular pain, or chronic orchalgia, has been defined as intermittent or constant testicular pain three months or longer in duration that significantly interferes with the daily activities of the patient so as to prompt him to seek medical attention. […] In many cases, however, the patient will present with epididymal pain and discomfort only, particularly in the chronic stage of the condition. […] Most urologists will agree that chronic epididymitis can be unilateral or bilateral; can range from mild, intermittent discomfort to severe, constant pain; can be exacerbated by certain activities, including ejaculation; can be associated with a normal-feeling or enlarged indurated epididymis; and appears to wax and wane over time.

• #1

  https://www.advocatehealth.com/health-services/urology/epididymitis

  Epididymitis is the inflammation of the epididymis, a small, coiled tube responsible for storing and transporting sperm. This inflammatory condition may cause orchitis, which is the inflammation of one or both testicles. […] Several factors may contribute to the development of epididymitis, such as bacterial infections, sexually transmitted infections (STIs) or urinary tract infections (UTIs). […] Acute epididymitis is often caused by a bacterial infection or STI and typically goes away with treatment. Chronic epididymitis lasts longer than six weeks and keeps reoccurring, even after treatment. Symptoms develop slowly in patients with chronic epididymitis and can take more time to notice. […] Recognizing epididymitis symptoms is key to early detection and getting effective treatment. Common epididymitis symptoms include: Presence of blood in your semen, Chills, Fever, Pain in your scrotum, Painful urination (dysuria), Swelling and redness of the testicle.

• #1 Epididymitis | Tennessee | Urology Associates P.C.

  https://www.urologynashville.com/conditions/for-men/epididymitis/

  Symptoms of acute epididymitis (sudden onset) can include: Testicular pain, Swollen or tender scrotum that may be accompanied by redness or warmth of the skin, Urethral pain, Urinary urgency or frequency, Painful/burning sensation when urinating, Fever, Flank or abdominal pain or discomfort. […] In chronic epididymitis, symptoms typically develop over a day or two and get better with treatment, although recurrence is possible. Symptoms are less severe than in acute or sudden onset epididymitis and usually include mild discomfort and localized pain in the scrotum. Typically, urinary symptoms are not associated with chronic epididymitis.

• #1 Chronic Epididymitis: A Practical Approach to Understanding and Managing a Difficult Urologic Enigma

  https://pmc.ncbi.nlm.nih.gov/articles/PMC1553215/

  The average symptom duration of patients with chronic epididymitis was 4.9 years. […] Sixty-four percent of patients had pain in the scrotum often, usually, or always. […] At the time the subjects were surveyed, the average pain score was 4.7 on a scale of 0 (no pain) to 10 (pain as bad as imaginable). […] The symptom complex associated with this moderate to severe discomfort or pain seemed to have a significant impact on patient quality of life. […] Chronic epididymitis can be defined as symptoms of discomfort and/or pain at least 3 months in duration in the scrotum, testicle, or epididymis localized to one or each epididymis on clinical examination. […] The etiology of chronic epididymitis can be associated with inflammatory, infectious, or obstructive factors but, in many cases, no identifiable etiology can be identified.

• #1

  https://111.wales.nhs.uk/epididymitis/?locale=en

  Epididymitis is where a tube (the epididymis) at the back of the testicles becomes swollen and painful. It’s often caused by an infection and is usually treated with antibiotics. […] Symptoms of epididymitis may include: sudden or gradual pain in 1 or both of your testicles (balls), the bag of skin containing your testicles (scrotum) feeling tender, warm and swollen, a build-up of fluid around the testicle (a hydrocele), that feels like a lump or swelling. […] You should start to feel better within a few days, but it may take up to 3 months to fully recover. If you still have symptoms after this, you might be referred for further tests.

• #1 Epididymitis

  https://mobile.fpnotebook.com/Uro/Testes/Epdymts.htm

  Gradual onset of unilateral Scrotal Pain. […] Pain localizes to posterior Testicle. […] Pain may radiate to opposite Testicle or into lower Abdomen. […] Symptoms of Urinary Tract Infection may be present. […] Fever. […] Urethral discharge. […] Urinary Frequency. […] Urinary urgency. […] Dysuria. […] Hematuria. […] Symptoms improve over first 2-3 days. […] Inflammation and pain resolve over 2-4 weeks.

• #1 Epididymitis

  https://www.nhs.uk/conditions/epididymitis/

  Symptoms of epididymitis may include: sudden or gradual pain in 1 or both of your testicles (balls) […] the bag of skin containing your testicles (scrotum) feeling tender, warm and swollen […] a build-up of fluid around your testicle (a hydrocele) that feels like a lump or swelling. Depending on the cause, you may have other symptoms, such as difficulty peeing, or a white, yellow or green discharge from the tip of the penis. […] The treatment for epididymitis is usually antibiotics. They’re given as injections or taken as tablets, or a combination of both. You should start to feel better within a few days, but it may take up to 3 months to fully recover. If you still have symptoms after this, you might be referred for further tests.

• #1

• #1

  https://www.advocatehealth.com/health-services/urology/epididymitis

  Less common symptoms of epididymitis are: Burning sensation during urination, Pain during ejaculation, Pain in your groin area, Testicle pain that intensifies during a bowel movement. […] Epididymitis symptoms are similar to testicular torsion, an emergency condition where blood flow is cut off to the testicle due to the twisting of the spermatic cord. Testicular torsion requires surgery to save the testicle. […] If you notice blood in your semen or experience nausea and vomiting that’s accompanied by swelling on one side of the scrotum, seek emergency care.

• #1 Epididymitis and inflammation of the testicles – USZ

  https://www.usz.ch/en/disease/epididymitis-and-inflammation-of-the-testicles/

  Inflammation of the epididymis (epididymitis) is common and is sometimes accompanied by simultaneous inflammation of the testicles (orchitis). The symptoms and treatment of these two testicular diseases are largely the same. […] The most important leading symptoms of epididymitis and/or testicular inflammation (= epididymorchitis) are: Pain in the scrotum, severe sensitivity to pressure. The skin of the scrotum feels overheated and is reddened. The skin of the scrotum is partially darkened. The scrotum is swollen, the folds of the scrotal skin are partially gone, the skin is taut. The pain can radiate into the groin and abdomen. Alarm signs are: High fever, chills, sometimes also nausea and vomiting! […] The prognosis for these infections is good, and they usually heal completely and without sequelae if treated correctly. It takes around ten days for the signs of acute inflammation to subside. After that, it may take a few weeks until the scrotum is inconspicuous again, no longer painful and no longer swollen. But caution is advised: Overall, both diseases epididymitis and testicular inflammation can temporarily reduce sperm production, although this later returns to normal in most cases.

• #1 Epididymitis – STI Treatment Guidelines

  https://www.cdc.gov/std/treatment-guidelines/epididymitis.htm

  Acute epididymitis is a clinical syndrome causing pain, swelling, and inflammation of the epididymis and lasting 6 weeks. […] Men who have acute epididymitis typically have unilateral testicular pain and tenderness, hydrocele, and palpable swelling of the epididymis. Although inflammation and swelling usually begin in the tail of the epididymis, it can spread to the rest of the epididymis and testicle. […] Chronic epididymitis is characterized by a 6-week history of symptoms of discomfort or pain in the scrotum, testicle, or epididymis. […] Signs and symptoms of epididymitis that do not subside in 3 days require reevaluation of the diagnosis and therapy.

• #1 Epididymitis and Orchitis – Oregon Urology Institute

  https://oregonurology.com/epididymitis-and-orchitis/

  Epididymitis is when the epididymis, a coiled tube at the back of the testicle that stores and carries sperm, becomes inflamed. […] If you have epididymitis or orchitis, you might experience pain in your testicles or scrotum. Typically, only one testicle is affected, though it can impact both. Additional symptoms include: Swelling of the scrotum or testicle, Redness or warmth of the scrotum, Discomfort or burning sensation while urinating, Possible discharge from the penis, especially if the infection is sexually transmitted, Discomfort during or after ejaculation, Fever and chills, if the infection has become systemic. […] Orchitis and epididymitis can lead to several complications if left untreated. Some of the potential issues that might arise from these conditions include: Testicular atrophy: Orchitis can cause the affected testicle to shrink, which can impact the production of sperm and testosterone, Scrotal abscess: An infected testicle can develop a pus-filled pocket that can cause significant pain and may require surgical drainage, Infertility: In some cases, if both testicles are affected by orchitis or severe or recurrent epididymitis occurs, this can lead to infertility, Chronic epididymitis: If epididymitis persists for more than six weeks or recurs frequently, it is considered chronic and may require long-term management. […] Symptoms typically improve within a few days of starting treatment, but full recovery may take several weeks. If pain or swelling persists, discuss it with your urologist.

• #1 Azthena logo with the word Azthena

  https://www.news-medical.net/health/Epididymitis-Symptoms.aspx

  It is important that any male patient experiencing pain or swelling in the scrotal or groin region is encouraged to discuss the symptoms with a health professional. This helps to prevent the progression of the condition and the presentation of complications. […] If epididymitis is not diagnosed in a timely manner, it can cause rare complications, such as testicular atrophy, scrotum fistula, testicular infarction, and infertility.

• #1 Epididymitis (Testicle Infection) Diagnosis, Causes, Treatment

  https://www.emedicinehealth.com/testicle_infection_epididymitis/article_em.htm

  Epididymitis is infection or less frequently, inflammation of the epididymis (the coiled tube on the back of the testicle). […] In general, individuals have discomfort and pain in the area of the testicle(s) or groin; some may develop fever, penile discharge, and blood in the urine. […] Symptoms of epididymitis start gradually and often peak within 24 hours. Pain usually begins in the scrotum or groin. […] The epididymis may swell to twice normal size within 3-4 hours (the degree of swelling is variable). […] Pain on urination, occasionally blood in the urine. […] Fever and chills. […] The health care practitioner likely will treat the individual with antibiotics through an IV, a shot, or pills orally (to be taken for 10 days or longer). […] If treated appropriately with antibiotics, epididymitis should be cured and the individual will have an excellent prognosis (outlook). […] The pain should improve within 1-3 days; however, swelling may take several days to resolve. […] The longer treatment is delayed, the more likely the above complications may develop and thus reduce the individual’s outcome to only fair to poor, depending on the severity of the complications.

• #1 Pediatric Epididymitis | Children’s Hospital Colorado

  https://www.childrenscolorado.org/conditions-and-advice/conditions-and-symptoms/conditions/epididymitis/

  Epididymitis usually presents with a gradual onset of scrotal pain that increases in severity over several hours. This is usually associated with swelling of the epididymis, which becomes tender to the touch. In time, fluid may accumulate around the testis this is called a hydrocele and the scrotum may become red and warm to the touch. […] When epididymitis is caused by an infection, there are usually problems passing urine this can include urinary frequency, urgency and pain with urination. It also may be associated with a fever, blood in the urine or urethral discharge.

• #1 Epididymitis – causes, symptoms of the disease in men, diagnosis and treatment in Moscow

  https://www.k31.ru/en/service/urologiya/epididymitis.html

  Some men with epididymitis may have symptoms or no symptoms at all. Therefore, if you have any concerns, it is recommended to consult a doctor. Acute epididymitis usually has a rapid onset and requires immediate medical attention. Chronic epididymitis is characterized by less pronounced, but more prolonged symptoms. The disease is manifested by pain and swelling in the scrotum, fever, general malaise and fatigue. The characteristic signs are painful urination and abnormal discharge from the urethra. Symptoms usually disappear within 5-7 days, but full recovery may take several weeks.

• #1 Epididymitis: Symptoms, Causes, Treatment, and More

  https://www.healthline.com/health/epididymitis

  Epididymitis may begin with only a few mild symptoms. Without treatment, however, the symptoms tend to get worse. […] People with epididymitis may experience: low grade fever, chills, pain in the pelvic area, pressure in the testicles, pain and tenderness in the testicles, redness and warmth in the scrotum, enlarged lymph nodes in the groin, pain during sexual intercourse and ejaculation, pain during urination or bowel movements, urgent and frequent urination, abnormal penile discharge, blood in the semen. […] The condition usually improves after you take antibiotics. Acute epididymitis lasts 6 weeks or fewer. […] Chronic epididymitis, on the other hand, lasts 6 weeks or more.

• #1 Epididymitis – symptoms and treatment | healthdirect

  https://www.healthdirect.gov.au/epididymitis

  Epididymitis is inflammation of the epididymis, a tube at the back of each testicle that stores sperm while they mature. […] If you have epididymitis, your testicle will be tender or painful, unusually warm, swollen or firm. […] If you have epididymitis, you may feel sick and have fever. Your testicle may be: painful or tender, unusually warm, swollen or firm. […] If your epididymitis is caused by a sexually transmitted infection (STI), you may also have: discharge from the penis, a stinging or burning feeling when you urinate (wee). […] If your epididymitis is caused by a urinary tract infection (UTI), you may also have: abdominal pain, the need to wee often, a burning feeling when you wee. […] Chronic epididymitis is when you have discomfort or pain in your scrotum, testicle, or epididymis for at least 3 months. The cause of chronic epididymitis is often not known. […] If you have symptoms such as pain or swelling in your testicles, see a doctor right away. […] If untreated, epididymitis can lead to complications such as: chronic infection, chronic pain, infertility. […] Treating epididymitis quickly will reduce your risk of complications.

• #2 Epididymitis: Causes, Symptoms, and Treatments

  https://www.webmd.com/men/what-is-epididymitis

  When a bacterial infection strikes, the epididymis gradually becomes swollen and painful. This usually happens on one testicle, rather than both. It can last up to 6 weeks if untreated. […] You might have one or more of these other possible symptoms: Redness, swelling, or tenderness in the scrotum, the sac that contains the testes; A more frequent or urgent need to pee; Painful urination or ejaculation; Fever; Bloody urine; Discomfort in your lower abdomen; Enlarged lymph nodes in your groin; A lump on your testicle. […] This is when your inflammation or infection lasts less than 6 weeks. Symptoms usually come on slowly over the course of 1-2 days. The main thing you’ll notice is pain in your scrotum, but your whole testicle or nearby areas may hurt. The skin around your testicle may be swollen, red, hard, or warm.

• #2 How to Know If You Have Epididymitis: Symptoms & Causes

  https://www.wikihow.com/Know-if-You-Have-Epididymitis

  Epididymitis is an infection of the epididymis (a small tube connecting the testes to the vas deferens) thats usually caused by bacteria from a sexually transmitted infection (STI). The symptoms often mimic those of a urinary tract infection (UTI) at first, so how can you know if you have epididymitis? […] Pain or discomfort in your lower abdomen or pelvic area: Over time, the swelling spreads outwards to the testicle, vas deferens, and other areas. Depending on the severity, this might feel like pain or discomfort in your abdomen, side, or pelvis. Abdominal pain may increase gradually and coincide with testicular pain. […] Testicular pain that comes on gradually, usually from one side: The first symptoms of epididymitis begin when one epididymis swells and becomes tender to the touch. This feels like testicular pain on one side that gradually gets worse over several hours.

• #2 Epididymitis | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/epididymitis

  Epididymitis is inflammation of the epididymis, usually caused by an infection. […] The symptoms of epididymitis include: swollen (enlarged), red or warm testicle, feeling of heaviness in the affected testicle, tenderness or pain in the affected testicle, pain in the abdomen or pelvis, frequent urge to urinate, burning feeling when urinating, discharge from the penis, blood in the urine, pain when ejaculating, slight fever, chills. […] Some people develop chronic epididymitis which is inflammation even when there is no infection. […] Chronic epididymitis is difficult to treat.

• #2 Epididymitis and Orchitis | Brandywine Urology Consultants

  https://www.brandywineuc.com/urological-condition/epididymitis-and-orchitis/

  Epididymitis symptoms occur not only from the local infection, but also from the original source of the infection. Common symptoms from the original source of the infection include: testicular pain, urethral discharge and urethral pain or itching, pelvic pain, urinary frequency, urinary urgency, painful/burning urination, fever, perineal pain, and flank pain. In some cases, pain in the scrotum from the local infection is the only noticeable symptom. The pain starts at the back of one testicle but can soon spread to the entire testicle, the scrotum and occasionally the groin. Swelling, tenderness, redness, firmness and warmth of the skin may also accompany the pain. In acute epididymitis the urine is usually infected with bacteria and may have symptoms of a urinary tract infection. […] Chronic epididymitis symptom is dull pain only in the scrotal contents and is less severe and more localized than acute epididymitis. There is no swelling, tenderness, redness and warmth of the skin of the scrotum.

• #2 Epididymitis – Knowledge @ AMBOSS

  https://www.amboss.com/us/knowledge/epididymitis/

  Epididymitis is a clinical diagnosis, with patients typically presenting with a gradual onset of pain and swelling of the affected scrotum and a positive Prehn sign. […] Acute epididymitis: an inflammation of the epididymis, usually as a result of an infection. […] Unilateral scrotal pain and swelling; which develops over several days and radiates to the ipsilateral flank. […] Positive Prehn sign: reduced pain when the affected hemiscrotum is elevated. […] Symptoms of lower urinary tract infection (e.g., dysuria, frequency, urgency), including urethritis (urethral discharge). […] Chronic epididymitis: Recurrent bouts of scrotal pain. […] Swelling is minimal when compared to acute epididymitis. […] Thickened epididymis.

• #2 Epididymitis: Causes, Symptoms, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/17697-epididymitis

  Epididymitis symptoms may include: […] Pain in your scrotum, which may move to the rest of your groin. The pain may be on one side or both sides, and may be mild or severe. […] Swollen testicles. […] Fever and chills. […] Pain when you pee (dysuria). […] Blood in your semen (hematospermia). […] Without treatment, epididymitis can cause complications, like an abscess in your scrotum. Your scrotal skin can also open up or break because of swelling and infection. […] In rare cases, epididymitis can cause male infertility problems. You can help prevent these complications by seeking treatment as soon as you notice symptoms. […] Bacteria causes most cases of epididymitis. Bacterial epididymitis cases wont go away on their own. Its important to talk to a healthcare provider as soon as you notice symptoms to get proper treatment and avoid further complications. […] Most people who get treatment for epididymitis start to feel better after about three days. But your symptoms may continue for weeks or even months after treatment. […] If symptoms return, follow up with a healthcare provider. They can rule out other conditions that affect your testicle.

• #2 Epididymitis and Orchitis: An Overview | AAFP

  https://www.aafp.org/pubs/afp/issues/2009/0401/p583.html/1000

  Epididymitis and orchitis typically present with a gradual onset of scrotal pain and symptoms of lower urinary tract infection, including fever. […] In acute epididymitis, symptoms are present for less than six weeks and are characterized by pain and swelling. Chronic epididymitis is characterized by pain, generally without swelling, that persists for more than three months. […] Patients with epididymitis usually present with gradual onset of pain that is localized posterior to the testis and that occasionally radiates to the lower abdomen. Although patients often have unilateral pain that begins in the epididymis, the pain can spread to the adjacent testis. Symptoms of lower urinary tract infection, such as fever, frequency, urgency, hematuria, and dysuria, may be present. […] With treatment, pain typically improves within one to three days, but it may take two to four weeks for induration to fully resolve.

• #2

  https://www.aurorahealthcare.org/services/urology/epididymitis

  Epididymitis symptoms are similar to testicular torsion, an emergency condition where blood flow is cut off to the testicle due to the twisting of the spermatic cord. Testicular torsion requires emergency surgery to save the testicle. […] Common epididymitis symptoms include: Blood in your semen, Fever, Chills, Painful urination (dysuria), Pain in your scrotum, Swelling and redness of the testicle. […] Less common symptoms are: Burning sensation during urination, Pain in your groin area, Testicle pain that intensifies during a bowel movement, Pain during ejaculation. […] Chronic epididymitis lasts longer than six weeks and keeps reoccurring, even after treatment. Symptoms develop slower with chronic epididymitis and can take more time to notice.

• #2 Epididymitis – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/epididymitis/symptoms-causes/syc-20363853

  Epididymitis is an inflammation of the coiled tube, called the epididymis, at the back of the testicle. […] Symptoms of epididymitis might include: A swollen, discolored or warm scrotum, Testicle pain and tenderness, usually on one side, that often comes on slowly, Pain when you pass urine, An urgent or frequent need to urinate, Discharge from the penis, Pain or discomfort in the lower abdomen or pelvic area, Blood in the semen, Less commonly, fever. […] Epididymitis that lasts longer than six weeks or that happens over and over again is considered chronic. Symptoms of chronic epididymitis might come on slowly. Sometimes the cause of chronic epididymitis isn’t able to be found.

• #2 Epididymitis Clinical Presentation: History, Physical Examination

  https://emedicine.medscape.com/article/436154-clinical

  Gradual onset of scrotal pain and swelling, often developing over several days (as opposed to hours, as in testicular torsion) […] Usually located on 1 side […] Dysuria, frequency, and/or urgency […] Fever and chills (in only 25% of adult patients with acute epididymitis but in up to 71% of children with the condition) […] Usually no nausea or vomiting (as opposed to testicular torsion) […] Urethral discharge preceding the onset of acute epididymitis (in some cases) […] The patient has a long-standing history of pain (6 wk) that can be described as either waxing and waning or constant […] The scrotum is not usually swollen but may be indurated in long-standing cases […] Tenderness and induration first occur in the epididymal tail, which may be the first site of reflux via the vas deferens. It then appears to spread to the body, head, and even the spermatic cord (funiculitis) or the ipsilateral testis (epididymo-orchitis). Acute epididymitis is bilateral in 5-10% of affected patients […] Erythema and mild scrotal cellulitis may be present, while a reactive hydrocele is common in patients with advanced epididymo-orchitis, complicating scrotal examination […] Orchitis is found in association with acute epididymitis in 20-40% of cases.

• #2 Epididymitis: Causes, Symptoms, and Treatments

  https://www.webmd.com/men/what-is-epididymitis

  This is when you have inflammation that comes and goes or lasts longer than 6 weeks. The inside of your scrotum may hurt, but you shouldn’t have any swelling, redness, or warmth. You may need treatment with antibiotics, or the inflammation may go away on its own. […] If you have epididymitis because of an infection, you’ll probably start to feel better within a few days after you start your antibiotics. Even after your antibiotics take effect, some swelling may last for weeks or months, and you may still be sore during that time.

• #2 Epididymitis Explained: Causes, Symptoms, and How It’s Treated

  https://progenesisivf.com/blog/epididymitis-explained/

  Epididymitis symptoms can include: Pain in your scrotum which may spread to the rest of your groin. The pain could be on one or both sides, minor or severe. Swollen testicles. Fever, chills. A sensation of pain during urinating (Dysuria). Presence of blood in your semen (Hematospermia). […] Epididymitis pain usually improves after 1-3 days of treatment, but complete remission of swelling and discomfort can take several weeks, with some people suffering pain for up to a couple of months depending on the severity of the condition. […] While you ought to start feeling better within a few days of starting antibiotics for epididymitis, a full recovery might require several weeks, with pain and swelling possibly lasting for a month or more based on the severity of the infection.

• #2 Epididymitis (Testicle Infection) Diagnosis, Causes, Treatment

  https://www.emedicinehealth.com/testicle_infection_epididymitis/article_em.htm

  Epididymitis is infection or less frequently, inflammation of the epididymis (the coiled tube on the back of the testicle). […] In general, individuals have discomfort and pain in the area of the testicle(s) or groin; some may develop fever, penile discharge, and blood in the urine. […] Symptoms of epididymitis start gradually and often peak within 24 hours. Pain usually begins in the scrotum or groin. […] The epididymis may swell to twice normal size within 3-4 hours (the degree of swelling is variable). […] Pain on urination, occasionally blood in the urine. […] Fever and chills. […] The health care practitioner likely will treat the individual with antibiotics through an IV, a shot, or pills orally (to be taken for 10 days or longer). […] If treated appropriately with antibiotics, epididymitis should be cured and the individual will have an excellent prognosis (outlook). […] The pain should improve within 1-3 days; however, swelling may take several days to resolve. […] The longer treatment is delayed, the more likely the above complications may develop and thus reduce the individual’s outcome to only fair to poor, depending on the severity of the complications.

• #2 Epididymitis And Orchitis – Harvard Health

  https://www.health.harvard.edu/a_to_z/epididymitis-and-orchitis-a-to-z

  Symptoms of epididymitis and orchitis can include: […] pain, swelling and tenderness in your scrotum. Only one side of the scrotum is affected. […] pain that at first is most intense at the back of one testicle. Within a few hours the pain spreads to the entire testicle, the overlying scrotum, in some cases, the groin. […] inability to walk without limping because of pain. […] redness and heat in the painful area. […] burning when you urinate. […] an accumulation of watery fluid in the scrotum. […] fever, chills and a burning sensation during urination. […] a clear, white or yellow abnormal discharge from the tip of your penis. […] In most cases of mild bacterial epididymitis, pain decreases within one to three days after you start taking antibiotics. However, swelling in the scrotum and testicle may last for several weeks.

• #2 Epididymitis: Symptoms, Causes, Treatment and Diagnosis | Metropolis Healthcare

  https://www.metropolisindia.com/blog/preventive-healthcare/epididymitis-causes-symptoms-and-treatment-approaches

  The discomfort caused by epididymitis normally begins to subside after three days of treatment. However, a full recovery might take weeks or even months. […] If you spot any epididymitis symptoms, such as testicular pain or swelling, it’s crucial to reach out to a healthcare provider immediately. In cases of sudden or severe testicular pain, immediately seek emergency medical help.

• #2 Epididymitis – symptoms and treatment | healthdirect

  https://www.healthdirect.gov.au/epididymitis

  Epididymitis is inflammation of the epididymis, a tube at the back of each testicle that stores sperm while they mature. […] If you have epididymitis, your testicle will be tender or painful, unusually warm, swollen or firm. […] If you have epididymitis, you may feel sick and have fever. Your testicle may be: painful or tender, unusually warm, swollen or firm. […] If your epididymitis is caused by a sexually transmitted infection (STI), you may also have: discharge from the penis, a stinging or burning feeling when you urinate (wee). […] If your epididymitis is caused by a urinary tract infection (UTI), you may also have: abdominal pain, the need to wee often, a burning feeling when you wee. […] Chronic epididymitis is when you have discomfort or pain in your scrotum, testicle, or epididymis for at least 3 months. The cause of chronic epididymitis is often not known. […] If you have symptoms such as pain or swelling in your testicles, see a doctor right away. […] If untreated, epididymitis can lead to complications such as: chronic infection, chronic pain, infertility. […] Treating epididymitis quickly will reduce your risk of complications.

• #2 Epididymitis and inflammation of the testicles – USZ

  https://www.usz.ch/en/disease/epididymitis-and-inflammation-of-the-testicles/

  However, if the therapy is not fully effective or has not been treated for long enough, epididymitis can become chronic. These protracted epididymitis can lead to scarring of the seminal ducts and ultimately to their closure. This increases the risk of infertility. Inadequately treated testicular inflammation also carries the risk that testosterone is no longer produced in line with age. The testosterone level can therefore drop. Infertility and hormone deficiency can therefore be the permanent damage caused by protracted epididymitis and testicular inflammation. […] A particularly dangerous complication of epididymitis and testicular inflammation is the local accumulation of pus, known as abscess formation. It can not only necessitate the removal of the epididymis and testicles, but can also trigger life-threatening blood poisoning = sepsis. You should therefore always have inflammation of the testicles and epididymis checked by a doctor as soon as possible in order to avoid irreversible consequential damage.

• #2 Epididymitis Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/diseases-conditions/epididymitis

  Epididymitis may begin with: […] The testicle area will get more sensitive to pressure. It will become painful as the condition progresses. An infection in the epididymis can easily spread to the testicle. […] Symptoms of epididymitis may be similar to those of testicular torsion, which requires emergent treatment.

• #2

  https://www.advocatehealth.com/health-services/urology/epididymitis

  Less common symptoms of epididymitis are: Burning sensation during urination, Pain during ejaculation, Pain in your groin area, Testicle pain that intensifies during a bowel movement. […] Epididymitis symptoms are similar to testicular torsion, an emergency condition where blood flow is cut off to the testicle due to the twisting of the spermatic cord. Testicular torsion requires surgery to save the testicle. […] If you notice blood in your semen or experience nausea and vomiting that’s accompanied by swelling on one side of the scrotum, seek emergency care.

• #2 Epididymo-orchitis: Causes, Symptoms, and Treatment

  https://patient.info/mens-health/scrotal-lumps-pain-and-swelling/epididymo-orchitis

  Epididymo-orchitis is an inflammation of the epididymis (the tube which stores and transports sperm) and/or testicle (testis). […] Symptoms usually develop quickly – over a day or so. The affected epididymis and testicle can swell rapidly and the scrotum often becomes enlarged, tender and red. It can be very painful. Sometimes there is pain without significant swelling or redness but it will be very tender when examined. […] There may be other symptoms if the epididymo-orchitis is a complication from another infection. For example, there may be pain on passing urine if there is a urine infection or a discharge from the penis if there is a sexually transmitted infection. As with any infection, there may be a high temperature (fever) and general symptoms of feeling unwell.

• #2 Epididymitis | United Urology

  https://www.unitedurology.com/conditions-treatments/for-men/epididymitis/

  Epididymitis is most common in men between the ages of 14 and 35 years and is usually caused by a bacterial infection or by a sexually transmitted infection (STI). […] Symptoms of acute epididymitis (sudden onset) can include: Testicular pain, Swollen or tender scrotum that may be accompanied by redness or warmth of the skin, Urethral pain, Urinary urgency or frequency, Painful/burning sensation when urinating, Fever, Flank or abdominal pain or discomfort. […] In chronic epididymitis, symptoms typically develop over a day or two and get better with treatment, although recurrence is possible. Symptoms are less severe than in acute or sudden onset epididymitis and usually include mild discomfort and localized pain in the scrotum. Typically, urinary symptoms are not associated with chronic epididymitis.

• #2

Zobacz więcej