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Epididymitis is a medical condition characterized by inflammation of the epididymis, a curved structure at the back of the testicle. [1] Onset of pain is typically over a day or two. [1] The pain may improve with raising the testicle. [1] Other symptoms may include swelling of the testicle, burning with urination, or frequent urination. [1]
In most cases where orchitis is caused by epididymitis, treatment is an oral antibiotic such as cefalexin or ciprofloxacin until infection clears up. In both causes non-steroidal anti-inflammatory drugs such as naproxen or ibuprofen are recommended to relieve pain.
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.
A number of medications can be used which need to be tailored to each person's needs and types of symptoms (according to UPOINTS, S = sexual: e.g. erectile dysfunction, ejaculatory dysfunction, postorgasmic pain). [56] Treatment with antibiotics is controversial. A review from 2019 indicated that antibiotics may reduce symptoms.
The cause of post-orgasmic pain determines the course of treatment. Antibiotics and non-steroidal anti-inflammatory medications are prescribed if infectious or inflammatory processes are thought to be the cause. [25] Transurethral seminal vesiculoscopy is the preferred method for treating pain associated with seminal vesicles. [26]
4: Body of epididymis 5: Tail of epididymis 6: Duct of epididymis 7: Deferent duct (ductus deferens or vas deferens) Prehn's sign (named after urologist Douglas T. Prehn) [1] is a medical diagnostic indicator that was once believed to help determine whether the presenting testicular pain is caused by acute epididymitis or from testicular ...
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]
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]