Epididymitis – the Causes and Symptoms

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Stoyanov
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Epididymitis – the Causes and Symptoms

#1 Post by Stoyanov » 01 May 2018, 15:51

Epididymitis refers to the inflammatory lesion of a special formation, which looks like a narrow tube located above and behind the testicle and meant for the promotion and maturation of spermatozoa, the epididymis (epididymis).

Epididymitis is most common in men aged 19 to 35. At this age, the pathology is a frequent cause of hospitalization. The disease is recorded in the elderly people somewhat less, while in children, the epididymitis almost does not occur.

Types and Causes of Epididymitis

The disease can have many different causes, both infectious (determined by the pathogenic effects of viruses, bacteria, fungi) and non-infectious.
The most common are bacterial epididymitis. It is believed that in young people (15-35 years old), the disease is usually triggered by sexually transmitted infections (STIs) such as chlamydia, gonorrhea, etc. In the elderly and children, the problem is associated with microorganisms usually causing diseases of the urinary system (for example, enterobacteria). Epididymitis can be caused by specific pathologies, such as tuberculosis (tuberculosis epididymitis), etc.

Sometimes, Candida fungus may become the causative pathogen (which is constantly present in the body, but not always leading to the disease, candidal epididymitis). In this case, the development of the disease can be triggered by the irrational administration of antibiotics, decreased immunity.

The pathological process in the epididymis may arise affected by the following diseases:
• parotiditis (“mumps”), inflammation of the parotid glands;
• angina;
• influenza;
• pneumonia;
• especially often, infections of the adjacent organs – urethritis (inflammatory pathology of the urinary canal), vesiculitis (seminal vesicles), prostatitis (prostate gland), etc.

Sometimes, the infection can also enter the epididymis upon certain manipulations such as endoscopy, catheterization, bougienage of the urethra (a diagnostic procedure carried out by introducing a special tool, bougie).

For example, noninfectious epididymitis can occur:
• upon treating with a medication such as Amiodarone, in arrhythmia;
• after sterilization by removal/ligation of the deferent ducts (due to accumulation of spermatozoa that did not resolve) - granulomatous epididymitis.

There are acute (duration of the disease does not exceed 6 weeks) and chronic epididymitis which predominantly involves both epididymides and often develops against the background of tuberculosis lesions, syphilis (over six months).

Depending on the severity of the manifestations, mild, moderate and severe form of epididymitis can be distinguished.

Risk Factors

Since epididymitis is most often caused by STI, unsafe sex is the main risk factor for development of the pathology. Other provocative moments:
• trauma to the pelvis, perineum, scrotum, including after a surgical intervention (adenomectomy, etc.);
• anomalies in the development of the urogenital system;
• urinary tract patency structural disorder (tumors, prostate hyperplasia, etc.);
• recent surgical procedures on the urinary tract;
• medical manipulation - electrostimulation (when there are differently directed contractions of the vas deferens, which can provoke “suction” of microbes from the urethra), infusion of medicines into the urethra, catheterization, massages, etc.;
• hyperplasia of the prostate;
• hemorrhoids;
• weight lifting, physical stress;
• frequent interrupted sexual intercourse, erections without intercourse;
• decrease in the body defenses as a result of serious pathology (diabetes, AIDS, etc.), hypothermia, overheating, etc.

Symptoms

The onset of the disease manifests itself as severe symptoms, which, without adequate therapy, tend to worsen. With epididymitis, the following signs can be observed:
• dull pain on one side of the scrotum/in the testicle with possible irradiation into the groin, sacrum, perineum, waist;
• acute soreness in the affected area;
• pelvic pain;
• redness, increased local temperature of the scrotum
• swelling/increase in size, and induration of the epididymis;
• tumor-like formation in the scrotum;
• chills and fever (up to 39 degrees);
• general deterioration of well-being (weakness, loss of appetite, headaches);
• increased inguinal lymph nodes;
• pain when urinating, defecating;
• increased frequency of urination, sudden desire to urinate;
• soreness in sexual intercourse and ejaculation;
• traces of blood in the sperm;
• discharge from the penis.

There is a specific diagnostic feature: the scrotal uplift can relieve the symptoms (positive Prehn’s sign).

With the chronic disease, the symptoms may be less pronounced, but soreness and increase in the scrotum, and often an increase in urination, persist.
Important! Acute pain in the testicle region indicates the need for immediate seeking medical advice!

Stoyanov
Администратор
Posts: 43
Joined: 24 Mar 2018, 16:21

Epididymitis – the Causes and Symptoms

#2 Post by Stoyanov » 09 Mar 2024, 15:52

You can get more information about the treatment of Epididymitis in the Russian-language forum using Google Translator - https://hron-prostatit.ru/forum/viewforum.php?f=30 - there are more than 30,000 daily users on the forum, you will definitely find the information you need.

But if you want to discuss the treatment of colliculitis in English, please write your questions and thoughts here, I will certainly answer.

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