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The ultrasound findings of tuberculous orchitis are as follow: (a) diffusely enlarged heterogeneously hypoechoic testis (b) diffusely enlarged homogeneously hypoechoic testis (c) nodular enlarged heterogeneously hypoechoic testis and (d) presence of multiple small hypoechoic nodules in an enlarged testis [Fig. 21b]. [citation needed]
Ultrasound can be useful if the diagnosis is unclear. [1] Epididymitis usually has a gradual onset. Typical findings are redness, warmth and swelling of the scrotum, with tenderness behind the testicle, away from the middle (this is the normal position of the epididymis relative to the testicle).
Doppler ultrasound of the scrotum, in the axial plane, showing orchitis (as part of epididymo-orchitis) as hypoechogenic and slightly heterogenic left testicular tissue (right in image), with an increased blood flow. There is also swelling of peritesticular tissue. Blood – ESR high; Urine – Cultural & Sensitivity test; Ultrasound scanning
Although elevation of the scrotum when differentiating epididymitis from testicular torsion is of clinical value, Prehn's sign has been shown to be inferior to Doppler ultrasound to rule out testicular torsion.
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.
Secondary hydrocele is most frequently associated with acute or chronic epididymo-orchitis. It is also seen with torsion of the testis and with some testicular tumors. A secondary hydrocele is usually lax and of moderate size: the underlying testis is palpable. A secondary hydrocele subsides when the primary lesion resolves. [citation needed]
epididymo-orchitis; Fournier's gangrene [12] air embolism [12] post-vasectomy pain syndrome; testicular torsion; scrotal cellulitis [12] Paget's disease of the scrotum [13] Peyronie's disease; impotence; penis constriction; retrograde ejaculation; self-injection of saline solution; urethral sounding; urolithiasis; tamakeri; testicular cancer ...
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.