Epididymo-orchitis or epididymal orchitis (EO) is a medical condition characterized by inflammation of the epididymis and, occasionally, the testicles. It mainly affects younger men under 50 years old. It can lead to severe scrotal pain and swelling that develops rapidly, often within 24 to 48 hours. Understanding its causes, symptoms, and treatment options is crucial for timely management and recovery.
EO occurs when the epididymis (a coiled tube behind the testicles) and, in some cases, the testicles become inflamed. While it is often linked to sexually transmitted infections, it can result in all sexually active males or other factors as well.
The underlying cause of EO often varies based on age and sexual activity:
Typically caused by urinary tract infections (UTIs), often involving E. coli.
Commonly due to sexually transmitted infections (STIs) like Neisseria gonorrhoeae or Chlamydia trachomatis.
If you think you may be presenting symptoms of Testicular Infection, schedule a consult as soon as possible.
Prompt and accurate diagnosis is essential to differentiate EO from other severe conditions like testicular torsion or tumours.
Often unremarkable but helpful in ruling out infections.
Commonly due to sexually transmitted infections (STIs) like Neisseria gonorrhoeae or Chlamydia trachomatis.
Helps evaluate blood flow to the testicles, ruling out torsion or trauma.
Recommended if prostatitis is suspected.
Treatment focuses on addressing the underlying infection and alleviating symptoms:
Rarely, in cases like xanthogranulomatous orchitis or abscess formation, orchidectomy (testicle removal) or drainage may be necessary.
Required for patients with systemic illness or needing intravenous antibiotics.
Practice safe sex to reduce the risk of STIs.
Urination after sexual intercourse to clear the urine tract.
Treat urinary tract infections promptly.
Scrotal pain and scrotal swelling should never be ignored. If you experience symptoms of EO, consult a healthcare provider immediately. Early diagnosis and treatment can prevent complications and ensure a quicker recovery.
By addressing this condition promptly, you can minimize discomfort and protect your reproductive health.
If you think you may be presenting symptoms of Testicular Infection, schedule a consult as soon as possible.
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