Epididymits
Epididymitis, infection of the epididymis is one of the most common infections of the male reproductive tract. It usually affects adults and is rare before puberty. Epididimitis is the series of small tubes which are attached to the back of each testicle, that collect and store sperm in it. That is one of the most scrotal pains, which is infection and subsequent inflammation of these coiled tubes. It often appears as secondary bacterial infection, especially infections of the urinary tract . Also sometimes it came after sexual transmitted diseases. Sometimes it develops in chronic epididimitis and that is inflammation even when there is no infection.There are some theories that could be hypersensitivity of certain structures. Even nerves and muscles may be reasons to cause or contribute to the condition of epididymitis. Physical examination and ultrasound is needed to distinguish chronic epididymits from a range of other disorders that causes scrotal pain. Chronic epididymitis is hard to cure. Epididymitis more commonly occurred in younger patients, and the symptoms of the disease persisted for a longer time than in the patients with epididymitis of another etiology. None of the men had suffered from nongonorrhoeal epididymitis before, while two of them 16.7 percent had had urethritis. The difference in etiology was also reflected in the patients' complaints. The discharge from the urethra was more common in the patients with Chlamydia infection The occurrence of chlamydial epididymitis is not always preceded by symptoms of urethritis and only in some cases they are accompanied by the increase of polynuclear leukocytes in urethral discharge. Chlamydial epididymitis is of milder course when compared to epididymitis of another etiology.
Causes of Epididymits
Common causes of Epididymits
- Sexually transmitted infection.
- Urethriti.
- Prostatitis.
- Urinary tract infections.
Symptoms of Epididymits
Common symptoms of Epididymits
- Painful ejaculation.
- Discharge from the penis.
- Pelvic pain. Fever.
- Chills.
- A sensation of heaviness in the affected testicle.
- The testicle becomes sensitive to touch or pressure
- Pelvic pain.
Treatment of Epididymits
Common Treatment of Epididymits
- The goal of therapy is to reduce pain and swelling and combat infection. It must begin immediately, especially in bilateral epididymitis, because sterility is always a threat.
- In an older patient undergoing prostatectomy, bilateral vasectomy may be necessary to prevent epididymitis as a postoperative complication, but antibiotics alone may prevent it
- When pain and swelling subside and permit walking, an athletic supporter may prevent pain. Corticosteroids may be prescribed to help counteract inflammation, but their use is controversial.
- When epididymitis is refractory to antibiotic therapy, epididymectomy under local anesthesia is necessary.
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