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Untreated, acute epididymitis's major complications are abscess formation and testicular infarction. Chronic epididymitis can lead to permanent damage or even destruction of the epididymis and testicle (resulting in infertility and/or hypogonadism), and infection may spread to any other organ or system of the body. Chronic pain is also an ...
The differential diagnosis of testicular pain is broad and involves conditions from benign to life-threatening. The most common causes of pain in children presenting to the emergency room are testicular torsion (16%), torsion of a testicular appendage (46%), and epididymitis (35%). [4] In adults, the most common cause is epididymitis. [citation ...
The epididymis is present in male reptiles, birds, mammals, and cartilaginous fish. [1] The caput epididymidis is fused to the testis in eutherian mammals, but not in marsupials. [13] In reptiles, there is an additional canal between the testis and the head of the epididymis and which receives the various efferent ducts.
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.
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]
Given the treatment implications of testicular torsion, it is important to distinguish testicular torsion from other causes of testicular pain, such as epididymitis, which can present similarly. While both conditions can cause testicular pain, the pain of epididymitis is typically localized to the epididymis at the rear pole of the testicle.
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Epididymitis is the inflammation (swelling) of the tube connecting testicle and vas deferens. [16] 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]