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Epididymitis

Symptoms: Painful scrotal swelling (testes enlarged) A testicular lump A tender, swollen testicle on affected side A tender, swollen groin area on affected side Testicle pain aggravated by bowel movement A fever Discharge from urethra (the opening at the end of the penis) Pain with urination Pain with intercourse or ejaculation Blood in the semen Groin pain Signs and tests: Physical examination shows a red, tender, and sometimes swollen mass on the affected hemi-scrotum. Tenderness is usually localized to a small area of the testicle where the epididymitis is attached. Enlarged lymph nodes in the groin area (inguinal nodes) may be present. There may be a discharge from penis. A rectal examination may reveal an enlarged or tender prostate. Text Continues Below These tests may be performed: A urinalysis and culture (the provider may request several specimens including: initial stream, mid-stream, and after a prostate massage) Tests to screen for Chlamydia and gonorrhea (urethral smear) CBC (complete blood count) Doppler ultrasound to rule out testicular torsion -- hypoechoic region may be visible on the affected side as well as increased blood flow or scrotal abscess Testicular scan (nuclear medicine scan) to rule out torsion -- in case of the epididymitis, increased blood flow may also be demonstrated

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