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JOHN R. Patient information : See related handout on epididymitis , written by the authors of this article. Inflammation of the epididymis, or epididymitis, is commonly seen in the outpatient setting. Etiology and treatment are based on patient age and the likely causative organisms. Epididymitis presents as the gradual onset of posterior scrotal pain that may be accompanied by urinary symptoms such as dysuria and urinary frequency. Physical findings include a swollen and tender epididymis with the testis in an anatomically normal position.
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Epididymitis: An Overview

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Epididymitis - Symptoms and Causes

Some sexually transmitted infections, such as gonorrhoea and chlamydial infection, have different presentations in the two sexes because of differences in genital anatomy. This chapter focuses on infections of the male urethra, epididymis, testis, and prostate. Anal and oral symptoms are also covered because these are encountered more often among men, especially men who have sex with men. Spontaneous discharge of fluid from the urethral meatus, usually most noticeable after holding urine overnight and often accompanied by burning discomfort during urination dysuria , strongly indicates a sexually acquired urethral infection.
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Epididymitis and Orchitis

Sometimes the testis is also involved— a condition referred to as epididymo-orchitis. A high index of suspicion for spermatic cord testicular torsion must be maintained in men who present with a sudden onset of symptoms associated with epididymitis, as this condition is a surgical emergency. Acute epididymitis caused by sexually transmitted enteric organisms e. Sexually transmitted acute epididymitis usually is accompanied by urethritis, which frequently is asymptomatic.
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Epididymitis is swelling inflammation of the tube that connects the testicle with the vas deferens. The tube is called the epididymis. Epididymitis is most common in young men ages 19 to It is most often caused by the spread of a bacterial infection.
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