Testicular Infection (Epididymal Orchitis)

Epididymo-Orchitis: Causes, Symptoms, and Treatment

Epididymo-Orchitis: Causes, Symptoms, and Treatment

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.

What is Epididymo-Orchitis?

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.

Key Symptoms

Causes and Risk Factors

The underlying cause of EO often varies based on age and sexual activity:

Children and Elderly

Typically caused by urinary tract infections (UTIs), often involving E. coli.

Sexually Active Young Men

Commonly due to sexually transmitted infections (STIs) like Neisseria gonorrhoeae or Chlamydia trachomatis.

Rare Causes

If you think you may be presenting symptoms of Testicular Infection, schedule a consult as soon as possible.

Diagnosis

Prompt and accurate diagnosis is essential to differentiate EO from other severe conditions like testicular torsion or tumours.

Urinalysis

Often unremarkable but helpful in ruling out infections.

Sexually Active Young Men

Commonly due to sexually transmitted infections (STIs) like Neisseria gonorrhoeae or Chlamydia trachomatis.

Scrotal Ultrasound with Doppler

Helps evaluate blood flow to the testicles, ruling out torsion or trauma.

Digital Rectal Exam

Recommended if prostatitis is suspected.

Treatment Options

Treatment focuses on addressing the underlying infection and alleviating symptoms:

Antibiotics

Supportive Care

Surgical Intervention

Rarely, in cases like xanthogranulomatous orchitis or abscess formation, orchidectomy (testicle removal) or drainage may be necessary.

Hospitalization

Required for patients with systemic illness or needing intravenous antibiotics.

Preventing Epididymo-Orchitis

Practice safe sex to reduce the risk of STIs.

Urination after sexual intercourse to clear the urine tract.

Ensure immunization is up to date, particularly against mumps.

Treat urinary tract infections promptly.

When to Seek Medical Help

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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