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Tests are needed to distinguish chronic epididymitis from a range of other disorders that can cause constant scrotal pain including testicular cancer (though this is often painless), enlarged scrotal veins , calcifications, [15] and a possible cyst within the epididymis. Some research has found that as much as 80% of visits to a urologist for ...
Epididymal cyst is a harmless sac in the testicles filled with fluid. [2] The most frequent clinical presentation occurs when a routine physical examination yields an unexpected finding, which is then confirmed by scrotal ultrasonography . [ 1 ]
Epididymitis and epididymo-orchitis are common causes of acute scrotal pain in adolescent boys and adults. At physical examination, they usually are palpable as tender and enlarged structures. Clinically, this disease can be differentiated from torsion of the spermatic cord by elevation of the testes above the pubic symphysis.
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.
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]
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 ...
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 ...
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.