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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 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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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.
Epididymal cysts is a mass that forms in the epididymis. [10] These cysts differ from spermatoceles as they contain clear fluid, rather than seminal fluid. In addition, spermatoceles are more likely to be found on the head of the epididymis. [19] Other abnormalities can be detected during male genital examination including Peyronie's disease.
Spermatocele is a fluid-filled cyst that develops in the epididymis. [3] The fluid is usually a clear or milky white color and may contain sperm. [4] Spermatoceles are typically filled with spermatozoa [5] and they can vary in size from several millimeters to many centimeters.
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]