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Rare non-infectious causes of chronic epididymitis include sarcoidosis (more prevalent in black men) and Behçet's disease. [4]: p.311 Any form of epididymitis can be caused by genito-urinary surgery, including prostatectomy and urinary catheterization. Congestive epididymitis is a long-term complication of vasectomy.
Testicular pain may be of sudden onset or of long duration. [1] [2] Causes range from non-serious muscular skeletal problems to emergency conditions such as Fournier gangrene and testicular torsion. The diagnostic approach involves making sure no serious conditions are present. Diagnosis may be supported by ultrasound, urine tests, and blood ...
The term epididymal hypertension is derived from the epididymis, a part of the male reproductive system. [8] The term is also applied to females despite the lack of an epididymis in female anatomy. Professor Caroline Pukall, who co-wrote the first in-depth study on EH, has suggested using the term throbbing crotch syndrome . [ 9 ]
The epididymis (/ ɛ p ɪ ˈ d ɪ d ɪ m ɪ s /; pl.: epididymides / ɛ p ɪ d ɪ ˈ d ɪ m ə d iː z / or / ɛ p ɪ ˈ d ɪ d ə m ɪ d iː z /) is an elongated tubular genital organ attached to the posterior side of each one of the two male reproductive glands, the testicles.
Vasectomies are a common, effective procedure for the sterilization of males. History of trauma or epididymitis can also lead to sperm granuloma. In vasectomies, the vas deferens are cut and the two ends are tied to prevent sperm from passing. Sperm granuloma may then grow at the point where the vas deferens were cut. [2]
In most cases where orchitis is caused by epididymitis, treatment is an oral antibiotic such as cefalexin or ciprofloxacin until the infection clears up. In both causes non-steroidal anti-inflammatory drugs such as naproxen or ibuprofen are recommended to relieve pain.
Untreated PID can result in long-term complications including infertility, ectopic pregnancy, chronic pelvic pain, and cancer. [2] [3] [4] The disease is caused by bacteria that spread from the vagina and cervix. [5] It has been reported that infections by Neisseria gonorrhoeae or Chlamydia trachomatis are present in 75 to 90 percent of cases. [2]
Post-vasectomy pain syndrome (PVPS) is a chronic and sometimes debilitating genital pain condition that may develop immediately or several years after vasectomy. [1] [2] [3] Because this condition is a syndrome, there is no single treatment method, therefore efforts focus on mitigating/relieving the individual patient's specific pain.