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Chronic infectious epididymitis is rare. [13] Some signs and symptoms include localized tenderness and swelling in the epididymis, which are different from any tenderness/abnormality present in the testis, these are usually not found in lower urinary tract. Chronic infectious epididymitis may be diagnosed in healthy adolescents as well as men.
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]
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 ...
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.
Testicular cancer is cancer that develops in the testicles, a part of the male reproductive system. [2] Symptoms may include a lump in the testicle or swelling or pain in the scrotum. [2] Treatment may result in infertility. [2] Risk factors include an undescended testis, family history of the disease, and previous history of testicular cancer. [5]
Diagnosis involves ruling out other potential causes of the symptoms such as bacterial prostatitis, benign prostatic hyperplasia, overactive bladder, and cancer. [ 2 ] [ 5 ] Recommended treatments include multimodal therapy , physiotherapy , and a trial of alpha blocker medication or antibiotics in certain newly diagnosed cases. [ 6 ]
Symptoms of orchitis are similar to those of testicular torsion. These can include: [citation needed] hematospermia (blood in the semen) hematuria (blood in the urine) severe pain; visible swelling of a testicle or testicles and often the inguinal lymph nodes on the affected side.
Signs and symptoms, when present, may include lower abdominal pain, vaginal discharge, fever, burning with urination, pain with sex, bleeding after sex, or irregular menstruation. [1] Untreated PID can result in long-term complications including infertility , ectopic pregnancy , chronic pelvic pain , and cancer .
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