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Doctor insights on: Epididymitis Orchitis

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What are epididymitis, orchitis and epididymo-orchitis?

What are epididymitis, orchitis and epididymo-orchitis?

Infection: These are infections of the structures within the scrotum, the testis (orchitis), the tubular structure adjacent to the testis (epididymitis), or both (epididymo-orchitis). In young men these infections are often sexually transmitted, like chlamydia. Older men usually are infected with gram negative bacteria that may also cause urinary tract infections. ...Read more

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Dr. Michael Pins
172 doctors shared insights

Orchitis (Definition)

A condition characterized by inflammation of one or both of the testicles. It is usually caused by a bacterial infection or ...Read more


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Epididymitis orchitis or testicular torsion, how to know?

Epididymitis orchitis or testicular torsion, how to know?

Here are some ...: In experienced professional mind, awareness, & alert, a detailed history pertaining to the onset, degree, duration, interval, and progress of testicular pain in association with possible voiding Sx plus physicals & timely tests such as urinalysis with/without scrotal US will be reasonably easy to pinpoint their diagnoses. In fact, most times, imaging studies are not practically needed despite its ...Read more

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Epididymitis orchitis or testicular torsion, what's the difference?

Epididymitis orchitis or testicular torsion, what's the difference?

Some are...: - age: torsion tends to be around puberty vs peididymits/orchitis, in young sexually active adults;std-related. - hx: torsion - acute onset and fast progress vs epididymits - slower progressive course. - voiding sx: none in torsion vs more in epididymits. - ua: normal in torsion vs pyuria in eoididymitis. - timely doppler us: torsion with poor a. Flow vs diffuse increase flow in epididymits. ...Read more

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Is testicular torsion treated with orchiopexy?

Is testicular torsion treated with orchiopexy?

Testicular fixation: otherwise known as scrotal orchidopexy/orchiopexy (both spellings are correct. Of course testis must first be untwisted. Both testicles should be fixed as anatomy making testis prone to torsion is usually similar on both sides. ...Read more

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Will orchitis cause sterility?

Will orchitis cause sterility?

Very rarely: There is not much published information on the exact percentage of patients with fertility problems after orchitis, but orchitis of only one testicle should not decrease fertility as long as the other testicle is normal. After orchitis of both testes, some reports say about 10% of men will have decreased fertility, and very rarely will a man become sterile. ...Read more

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Dr. James Lin Dr. Lin
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Can Epididymitis cause varicocele in scrotum?

Dr. James Lin Dr. Lin
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Can Epididymitis cause varicocele in scrotum?

No, but...: Varicocele is an inborn anomaly of pampiniform venous plexus present in some 15%pf men with some 90% on left side & 10% on both, but bearing no clinical significance in most of cases. Besides, varicocele has no direct connection with epididymitis although it may cause some symptoms like fullness or ache after a long standing like that in the lower legs with varicose veins. Best... ...Read more

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Testicular torsion how common?

Testicular torsion how common?

Depends on age.: Testicular torsion has two peak incidences: a small one in the neonatal period and a large one during puberty, but it can occur at any age. The incidence is estimated to be 1 in 4000 in males younger than 25 years old. Approximately 65% of cases occur in boys between the ages of 12 and 18 years. ...Read more

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Scrotal & abdo aching pain both sides. Swollen testis veins. Uvsound shows no Varicocele, torsion, epididymis, UTI or kidney/appendix infection. What?

Scrotal & abdo aching pain both sides. Swollen testis
veins. Uvsound shows no Varicocele, torsion, epididymis, UTI or kidney/appendix infection. What?

Testicular pain: You have ruled out the big ticket items so that is good! For pain and swelling, just take Advil 400 mg po q 6 hrs for pain and could also take Benadryl at night 25-50 mg /night for the swelling. If it persists, see Urology MD. Welcome to Healthtap, Dr. Ivy Fisher ...Read more

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Can testicular torsion be cured?

Can testicular torsion be cured?

Yes: Testicular torsion is a medical/surgical emergency. Torsion refers to a twisting of the testicle on its own blood supply, effectively cutting off oxygen to the testicle. It needs to diagnosed quickly and treated quickly to prevent testicular death. It usually presents with sudden pain in the scrotum with discoloration and swelling. Go to the emergency room if you think you have a torsion. ...Read more

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Can orchitis cause infertility?

Can orchitis cause infertility?

Yes: Particularly mumps orchitis has been associated with sub-normal male fertility, but it is not all-or-nothing. Semen analysis is a very reliable measure for assesing whether harm has been doen. ...Read more

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Undescended testicles in inguinal canal cause infertility?

Undescended testicles in inguinal canal cause infertility?

Possibly: Men who have both testes undescended in inguinal canal will almost definitely be infertile. However most men with a single fully descended testis are fertile, even if the opposite testiscle is in the inguinal canal. ...Read more

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Could chronic nonbacterial prostatitis affects fertility?

Could chronic nonbacterial prostatitis affects fertility?

Inflamed , infertile: Male infertility is multifactorial but not impossible for any form of inflammation to cause damage and lead to infertility. Causes of inflammation that might not be bacterial include virus, autoimmune, chemical exposure , trauma , etc. See a urologist and treating potential causes may help fertility. ...Read more

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Can epididymitis on one testicle cause infertility?

Unlikely: Though epididymitis 'could' result in scarring and blockage of the sperm passageway (and infertility) in the affected testicle, if there is a normal testicle on the other, unaffected side, that testicle will be able to produce enough sperm to maintain fertility in most instances. ...Read more

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What is testicular torsion?

What is testicular torsion?

A dangling testis...: It's a dangling testis like a bell-clapper hinging below inguinal canal from inborn poor fixation of testis supposedly to the scrotal wall so it twists as testicular size increases and cremasteric muscle acts; this is intravaginal and happens to the puberty and adults. Those hinging above external inguinal ring are extravaginal, happening to newborn or before birth. Detail? Ask doc in expertise. ...Read more

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Undescended testicle can it cause oligospermia?

Undescended testicle can it cause oligospermia?

Well...: The answer is YES, but more important, is that an undescended testis (if it is really undescended) is more at risk to develop cancer, so it is customary to have it removed. Please Consult with a UROLOGIST soon! ...Read more

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Is orchitis an std?

Is orchitis an std?

Orchitis is...: ...Inflamation of the testicles. It commonly can be from a viral or bacterial infection, and sometimes, but not always, involves something transmitted sexually. I saw a kid with orchitis this week...It was mumps. ...Read more

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Can bacterial orchitis cause testicular atrophy? Or is that only mumps?

Can bacterial orchitis cause testicular atrophy? Or is that only mumps?

Orchitis: Bacteriall epididymoorchitis generally does not cause testicular atrophy or fertility issues. ...Read more

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Scrotal pain in the vas deferans--can it be torsion?

Scrotal pain in the vas deferans--can it be torsion?

Scrotal pain: This question can't be answered properly on this forum. I recommend that you seek immediate medical attention to ensure that you don't have torsion. Torsion is time-sensitive and can only be diagnosed by physical exam and either a scrotal ultrasound or testicular scan. Seek immediate medical attention is my best advice to you. www.peedoc.com @drhtay. ...Read more

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Should i be concerned that my re-occurring epididymitis may never go away ? 1 year so far.

Here are...: The stated scenario indicated you've been treated for epididymitis; hopefully, indeed, you had or have had it. So, you're advised to collect the features of degree, duration, or interval over time of testicular pain with its detailed sequence of events. &bring those to doc for review, analysis, more hx, physicals, and tests as needed so to deduce a confirmative DX for reasonable rx. Best wish... ...Read more

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What are epididymitis, orchitis and epididymo-orchitis?

Infection: These are infections of the structures within the scrotum, the testis (orchitis), the tubular structure adjacent to the testis (epididymitis), or both (epididymo-orchitis). In young men these infections are often sexually transmitted, like chlamydia. Older men usually are infected with gram negative bacteria that may also cause urinary tract infections. ...Read more

See 1 more doctor answer
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Epididymitis orchitis or testicular torsion, how to know?

Here are some ...: In experienced professional mind, awareness, & alert, a detailed history pertaining to the onset, degree, duration, interval, and progress of testicular pain in association with possible voiding Sx plus physicals & timely tests such as urinalysis with/without scrotal US will be reasonably easy to pinpoint their diagnoses. In fact, most times, imaging studies are not practically needed despite its ...Read more

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Epididymitis orchitis or testicular torsion, what's the difference?

Some are...: - age: torsion tends to be around puberty vs peididymits/orchitis, in young sexually active adults;std-related. - hx: torsion - acute onset and fast progress vs epididymits - slower progressive course. - voiding sx: none in torsion vs more in epididymits. - ua: normal in torsion vs pyuria in eoididymitis. - timely doppler us: torsion with poor a. Flow vs diffuse increase flow in epididymits. ...Read more

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After I have finished my Doxycycline for Epididymitis-orchitis why do I still hve swelling?

After I have finished my Doxycycline for Epididymitis-orchitis why do I still hve swelling?

Normal: Some degree of swelling and firmness will persist for a couple of months but will be gradually getting less.If pain gets worse go back to the doctor.A scrotal support is a good idea.Best wishes. ...Read more

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What is the best antibiotic for a bacterial infection with epididymitis orchitis?

What is the best antibiotic for a bacterial infection with epididymitis orchitis?

See below: Before culture results:One injection in muscle of 250-500mg ceftrioxone+azithromyci 1gm by mouth(or doxycycline 100mg 2Xdaily for 1-2wks) In men older than 35 with recent instrumentation or UTI and no suspicion of STD:Ciprofloxacin or levofloxacin or trimethoprim-sulfamethoxazole. ...Read more

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Gradual testicular pain for 4 months. US + MRI negative. Suspicion orchitis + epididymitis. Surgery for confirmation or antibiotics? Celiac disease.

Gradual testicular pain for 4 months. US + MRI negative. Suspicion orchitis + epididymitis. Surgery for confirmation or antibiotics? Celiac disease.

Antibiotics: Antibiotics is usually the first treatment for epidiymitis. It may take 3-6 weeks of treatment. Surgery is rarely necessary. ...Read more

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Can with holding ejaculations cause epididmytis-orchitis?

No: Charles, Epididymitis and Orchitis have two primary causes: urinary bacteria and sexually transmitted bacteria. If you think you might have either epididymitis or orchitis, see your doctor to get checked out. Hope this helps! ...Read more

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Does epididmitis orchitis cause sexual problems? Erectical dysfunction etc?

Does epididmitis orchitis cause sexual problems? Erectical dysfunction etc?

Low sperm count: Possibly but not likely. Oligospermia (low sperm count). Can be due to previous testis infection or epididymal scarring from previous infection and inflammation, however most men who have had epididymitis or even orchitis do not subsequently find themselves sub fertile or infertile. See a urologist and have a semen analysis. Ed is definitely not related. ...Read more

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What home treatments are available for orchitis or epidydimitis?

What home treatments are available for orchitis or epidydimitis?

No home remedies: You need to see a doctor and get antibiotics. ...Read more

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Could a very minor hit to the testis cause epidymitis orchitis?

Here are some ...: A very minor hit to testis would not cause inflammation or infection of epididymis / testis; instead, such a hit may help you bring attention to the already existing epididymitis / orchitis by inducing discomfort. Thereby, you glued your focus on such incidentally induced ache... So, see urologist for more history, physicals, and possible tests so to verify possible Dx for proposing reasonable Rx. ...Read more

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How easily would an US pick up on orchitis in the very beginning stages( regular bacterial orchitis. not mumps/epidiymitis) ?

How easily would an US pick up on orchitis in the very beginning stages( regular bacterial orchitis. not mumps/epidiymitis) ?

Orchitis: Orchitis is usually diagnoses with swab testing or urine testing for the infection. An ultrasound is used to rule out other etiologies (such as testicular torsion) that can present in a similar way. All of these methods can be employed to diagnose the condition accurately. ...Read more

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Is ORCHITIS (only orchitis no epidiymitis) easily noticeable on an US? We're talking about a mild case. What does it look like on the US?

Is ORCHITIS (only orchitis no epidiymitis) easily noticeable on an US? We're talking about a mild case. What does it look like on the US?

Here are some ...: Two features of change may appear: some heterogeneous tissue texture, which however can be subtle, nonspecific, and viewer-subjective; increasing blood flow as shown in Doppler US screen. But remember: isolated orchitis is rare and everything we see is always just at a certain moment on the pattern of its full spectrum, ranging from being subtle, almost indiscernible to grossly obvious. ...Read more

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2 months ago i had epidymitis in my right testicle. Only epidymitis. Took 7 weeks cipro (ciprofloxacin). Recent US showed normal epidymis BUT orchitis. Why? Cause?

Too complex...: ...for short answers on a forum. US can give clues to orchitis, but is not a definitive diagnostic study. Maybe you just have residual inflammation from the epididymitis, and maybe no more antibiotic is needed. Orchitis can be caused by viruses and non-infectious disorders. You should be in the care of an expert, e.g urologist or infectious disease specialist, and follow his or her advice. ...Read more

Epididymitis (Definition)

A condition in which the tube at the back of the testicle, which stores and ...Read more