Most urologists will agree that chronic epididymitis can be unilateral or bilateral; can range from mild, intermittent discomfort to severe, constant pain; may be made worse by certain activities, including ejaculation; may be accompanied by normal feeling or enlarged hardened epididymis; and seems to grow and…
Epididymitis is most commonly caused by a bacterial infection, including sexually transmitted infections (STIs) such as gonorrhea or chlamydia. Sometimes a testicle also becomes inflamed – a condition called epididymo-orchitis.
Chronic epididymitis occurs when symptoms persist or recur for more than six weeks and can cause erectile dysfunction.
Chronic epididymitis can lead to reduced sperm count and motility. Impaired sperm motility due to epididymal dysfunction is often associated with atypical coloring behavior of sperm tails.
One of the easiest ways to detect epididymitis is to take a urine sample, as the bacteria are commonly found in urine. To prescribe the right treatment, the doctor may try to grow more bacteria after the culture is taken to determine what type of bacterial growth is related to the condition.
You should feel better within a few days, but it may take up to two weeks to fully recover. It is important to complete the entire course of antibiotics, even if you are feeling better. There are some things you can do while you are recovering to reduce pain and swelling and prevent further problems.
Epididymitis is typically treated with hot sitz baths, scrotal support, anti-inflammatory medications, and occasionally antibiotics. Sitting in a warm tub for 20 minutes a day helps reduce inflammation.
The most common symptom is a slight pain in one testicle. It can be difficult to pinpoint the exact location of the symptoms. The pain often radiates (spreads) to your scrotum, groin, thigh, and lower back. Sitting for long periods can make it worse.
Analgesic medications can help reduce the pain associated with epididymitis. Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or aspirin may also help reduce swelling and associated pain.
In epididymitis, the epididymis swells up. This disease can be acute (sudden) or chronic (long-term) and is typically due to a bacterial infection.
If the person is practicing semen retention that causes pelvic and testicle pain, it means sperm and semen production is fine. The discomfort is the result of inflammation due to accumulation of sperm and semen in the testicles and seminal vesicles.
The testicles should feel smooth, without lumps or bumps, and firm but not hard. You may feel a soft tube at the back of each testicle called the epididymis.
An epididymitis infection can lead to serious problems if not treated in time. Chronic epididymitis can cause an abscess to form on your scrotum. Or it could destroy your epididymis, leading to infertility. In some cases, the infection can spread to other parts of your body.
Treatment of pediatric epididymitis depends on the underlying cause of the condition. For many causes, the condition can resolve on its own, aided by rest and pain relievers such as ibuprofen. If you have a bacterial infection, such as a urinary tract infection, healthcare professionals may prescribe antibiotics.