Epididymitis

Epididymitis is a painful condition causing severe testicular pain that is often caused by bacterial infections, including sexually transmitted infections (STDs). It is important that you get prompt diagnosis and treatment to prevent complications.

If you’re concerned about STDs, call Urology of Greater Atlanta or make an appointment online today. Our board-certified urologists are ready to give you the discrete help you’re looking for. Contact one of our convenient locations in Georgia now!

What Is Epididymitis?

Epididymitis refers to the inflammation of the epididymis (a coiled tube located at the rear of the testicle that is responsible for storing and transporting sperm). This inflammatory condition can lead to severe pain in the testicular area.

Who Does Epididymitis Affect?

It’s possible to get epididymitis at any stage of life, although it is more commonly found in individuals aged 14 to 35. Both men and individuals assigned male at birth are susceptible to developing epididymitis. If you have been exposed to STIs or acute epididymitis in the past, you are more likely to get the condition.

What Are the Symptoms of Epididymitis?

The symptoms of epididymitis may include:

• Severe testicle pain
• Discomfort in the scrotum, occasionally radiating to the surrounding groin area
• Testicular swelling and redness
• Presence of blood in semen
• Fever and chills
• Painful urination (dysuria)

What Are the Causes of Epididymitis?

The majority of epididymitis cases are caused by a bacterial infection known as E. Coli. Other cases are caused by bacteria, such as Mycoplasma or Chlamydia, often associated with sexually transmitted infections.

Additionally, epididymitis can be caused by a urinary tract infection (UTI) or other infections, including the mumps virus and, rarely, tuberculosis.

In some instances, epididymitis occurs when urine flows backward into the epididymis, which can be triggered by activities like heavy lifting. Other causes of epididymitis include:

• Urethral blockage, where the tube responsible for carrying urine is obstructed
• Enlarged or infected prostate gland
• Use of a catheter
• Surgical procedures involving the prostate, urethra, or bladder
• Traumatic injury to the groin area

Can Epididymitis Spread to Others?

The causes of epididymitis are usually sexually transmitted diseases, such as chlamydia and gonorrhea. Therefore the infection that causes epididymitis can spread through sexual intercourse.

How to Diagnosis Epididymitis

In order to diagnose epididymitis, your healthcare provider will conduct a thorough physical examination of your scrotum to identify any tender areas or lumps. They may also request a urinalysis, or urine test, to check for the presence of bacteria. In certain instances of epididymitis, ultrasound imaging may be utilized to capture diagnostic images of the scrotum.

How Epididymitis Is Treated

Treatment for epididymitis typically consists of antibiotics. Commonly prescribed medications include doxycycline, ciprofloxacin, levofloxacin, or trimethoprim-sulfamethoxazole. The duration of antibiotic treatment typically spans one to two weeks.

In addition to antibiotic therapy, individuals with epididymitis can alleviate symptoms by:

• Resting and avoiding strenuous activities.
• Elevating the scrotum to reduce swelling.
• Applying ice packs to the affected area for pain relief.
• Staying hydrated by consuming an adequate amount of fluids.
• Taking nonsteroidal anti-inflammatory drugs (NSAIDs) to alleviate pain.

What Happens if Epididymitis is Left Untreated?

If you don’t treat an epididymitis infection promptly, it can potentially give rise to severe complications. Untreated or chronic epididymitis may lead to the development of an abscess in the scrotum or permanent damage to the epididymis, leading to infertility.

It could also cause testicular infarction, where some of the testicular tissue dies. Furthermore, in certain instances, the infection can spread to other areas of the body, posing additional health risks.

When to See the Doctor

If you experience any symptoms of epididymitis, it is essential to contact your healthcare provider. If they determine that your infection is related to a sexually transmitted infection, it is crucial to inform recent sexual partners so that they can receive proper examination and treatment.

In the event of sudden or intense testicular pain, it is advised to call 911 or visit the nearest emergency room.

Get the Help You Need Today

If you’re concerned about STDs, call Urology of Greater Atlanta or make an appointment online today. Our board-certified urologists are ready to give you the discrete help you’re looking for. Contact one of our convenient locations in Georgia now!