Epididymitis

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Epididymitis

  1. 1. Epididymitis Define, Causes, treatment
  2. 2. Defintion <ul><li>Epididymitis is an inflammation of the coiled tube (epididymis) at the back of the testicle that stores and carries sperm </li></ul><ul><li>Males of any age can get epididymitis, but it's most common in men between the ages of 20 and 39. </li></ul>
  3. 3. Causes <ul><li>caused by a bacterial infection </li></ul><ul><li>Hx of UTIs or prostate infec. bacteria may spread from the infected site to the epididymis. </li></ul><ul><li>STD- such as gonorrhea or chlamydia. </li></ul><ul><li>testicle also may become inflamed — a condition called epididymo-orchitis </li></ul><ul><li>Chemical epididymitis </li></ul>
  4. 4. Causes <ul><li>caused by a bacterial infection </li></ul><ul><li>Hx of UTIs or prostate infec. bacteria may spread from the infected site to the epididymis. </li></ul><ul><li>STD- such as gonorrhea or chlamydia. </li></ul><ul><li>testicle also may become inflamed — a condition called epididymo-orchitis </li></ul><ul><li>Chemical epididymitis </li></ul>
  5. 5. Causes <ul><li>procedures on the urinary tract. surgery or catheter or scope inserted into the penis can introduce bacteria into the genital-urinary tract, leading to infection. </li></ul><ul><li>Prostate enlargement. obstructs bladder function and causes urine to remain in the bladder risk of bladder infection, which increases the risk of epididymitis </li></ul>
  6. 6. Signs and symptoms <ul><li>A tender, swollen, red or warm scrotum </li></ul><ul><li>Testicle pain and tenderness, usually on one side — the pain may get worse when you have a bowel movement </li></ul><ul><li>Painful urination or an urgent or frequent need to urinate </li></ul><ul><li>Painful intercourse or ejaculation </li></ul><ul><li>Chills and a fever </li></ul><ul><li>A lump on the testicle </li></ul><ul><li>Enlarged lymph nodes in the groin (inguinal nodes) </li></ul><ul><li>Pain or discomfort in the lower abdomen or pelvic area </li></ul><ul><li>Discharge from the penis </li></ul><ul><li>Blood in the semen </li></ul>
  7. 7. See the doctor <ul><li>Never ignore scrotal pain or swelling. </li></ul><ul><li>Scrotal pain may require immediate treatment- may cause permanent damage if not treated promptly. </li></ul><ul><li>Testicular torsion, caused by a twisted spermatic cord, can cause pain similar to that caused by epididymitis and requires emergency treatment because it blocks blood flow to the testicle. </li></ul>
  8. 8. Evaluation <ul><li>physical exam, which may reveal enlarged lymph nodes in your groin and an enlarged testicle on the affected side. DRE, blood and urine tests </li></ul><ul><li>STD screening. sample of discharge from your urethra. </li></ul><ul><li>Ultrasound imaging. used to rule out conditions such as twisting of the spermatic cord (testicular torsion) or a testicular tumor. </li></ul><ul><li>Nuclear scan of the testicles. used to rule out testicular torsion, </li></ul>
  9. 9. Treatment <ul><li>Antibiotics, anti-inflammatory </li></ul><ul><li>If STD Your sexual partner will also need treatment. </li></ul><ul><li>take the entire course of antibiotics prescribed by your doctor, even though you may feel better in two to three days after you start treatment. </li></ul><ul><li>If a pocket of pus (abscess) has formed, it may need to be drained, </li></ul><ul><li>epididymis needs to be removed surgically </li></ul>
  10. 10. Other suggestions <ul><li>Rest in bed. </li></ul><ul><li>Elevate your scrotum. While lying down, place a folded towel under your scrotum. </li></ul><ul><li>athletic supporter. </li></ul><ul><li>cold packs to your scrotum. </li></ul><ul><li>Don't have sex until your infection has cleared up. </li></ul>
  11. 11. Bottom Line <ul><li>Common meidcal condition in men </li></ul><ul><li>Us. assoc. with pain and swelling </li></ul><ul><li>Diagnosis is easily made </li></ul><ul><li>Successful treatment is available. </li></ul>

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