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It is generally believed that most cases of chronic epididymitis will eventually "burn out" of patient's system if left untreated, though this might take years or even decades. [5] However, some prostate -related medications have proven effective in treating chronic epididymitis, including doxazosin .
Orchitis can be related to epididymitis infection that has spread to the testicles (then called "epididymo-orchitis"), sometimes caused by the sexually transmitted infections chlamydia and gonorrhea. It has also been reported in cases of males infected with brucellosis. [2] Orchitis can also be seen during active mumps, particularly in ...
Furthermore, ultrasound also provides information essential to reach a specific diagnosis in patients with testicular torsion, testicular appendiceal torsion and inflammation such as epididymo-orchitis, Fournier gangrene etc., thus enabling us to avoid unnecessary operation. [citation needed]
When the testis becomes swollen, in addition to the epididymis, this is called epididymo-orchitis. Epididymitis can be acute (lasting less than six weeks) or chronic (lasting equal to or more than six weeks). [17] Pain experienced due to chronic epididymitis is usually more dull compared to acute epididymitis and can be intermittent.
Testicular sarcoidosis can present as a diffuse painless scrotal mass or can mimic acute epididymo-orchitis. Usually it appears with systemic manifestations of the disease. [ 3 ] Since it causes occlusion and fibrosis of the ductus epididymis, fertility may be affected. [ 4 ]
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Chronic scrotal pain (pain for greater than 3 months) may occur due to a number of underlying conditions. [3] It occurs in 15-19% of men post vasectomy, due to infections such as epididymitis, prostatitis, and orchitis, as well as varicocele, hydrocele, spermatocele, polyarteritis nodosa, testicular torsion, previous surgery and trauma. [3]
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