• Clinical science

Epididymitis

Summary

Epididymitis is an inflammation of the epididymis that is commonly associated with genitourinary tract infections. The typical presentation involves gradual onset of pain and swelling of the affected side of the scrotum as well as a positive Prehn sign. Epididymitis is a clinical diagnosis, but testicular torsion should be excluded by ultrasound because it has a similar presentation and is a surgical emergency. Treatment involves prompt empiric antibiotic therapy, scrotal elevation, and nonsteroidal anti‑inflammatory therapy to prevent abscess formation and possible infertility.

Etiology

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Clinical features

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Diagnostics

Rule out other conditions requiring urgent intervention before diagnosing epididymitis!

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Differential diagnoses

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The differential diagnoses listed here are not exhaustive.

Treatment

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Complications

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We list the most important complications. The selection is not exhaustive.