Epididemohoritis: Symptoms and Treatment

Epididymoortitis is an inflammatory process in the testicle and its epididymis. As a rule, the pathological process begins with the tail of the appendage and gradually passes to the entire organ. In the main risk group, men of the age group are 20-40 years old. In 5% of cases, this ailment requires hospitalization and treatment by an operative method.


The etiological causes of the development of this inflammatory process can be divided into two groups — independent and as a complication due to another ailment. The first group includes the following factors:

  • frequent hypothermia
  • Overheating;
  • long and systematic wearing of narrow lingerie
  • Frequent twisting of the testicle and its epididymis

Contact (consequence of other pathological processes) epididymoorkhitis can develop due to such factors:

  1. through infection of the urinary canal
  2. if there is prostatitis, urethritis
  3. infectious ailments of the gastrointestinal tract
  4. Complications after endoscopy
  5. Sexual overexcitation with a strong erection, but without ejaculation
  6. complication after scrotal injury;
  7. in the presence of inflammatory ailments in the pelvic organs

Also, clinicians note that in more rare cases, the development of this inflammatory process is possible by hematogenous pathway in case of angina or influenza.

General Symptoms

At the initial stage of epididymorchitis, symptoms may not appear, which greatly complicates further treatment. As the inflammatory process develops, you can observe such symptoms:

  • increased body temperature and locally, at the site of inflammation
  • an increase in the size of the affected testicle and epididymis
  • When palpation in the testicle, a compaction is felt, which indicates the accumulation of fluid
  • In the scrotum area, there is a sharp pain when moving, which can give in the groin. In a state of rest, the pain is of the character of a pulling-whining;
  • swelling, severe reddening of the affected area
  • chills

When the chronic form of the disease in the scrotum can accumulate pus. In some cases, it is dried out on its own. Otherwise, surgical drainage is required.

It should be noted that if the inflammatory process develops against the background of another disease, the symptoms listed above may be absent. The clinical picture can be manifested as follows:

  1. unstable body temperature and in the place of the affected organ
  2. small seals in the scrotum
  3. Pain may appear periodically;
  4. Third-party urethral discharge
  5. difficult urination

When the form of this ailment is launched, the compaction in the scrotum can be transformed into fistulas.


According to the nature of the flow, epididymorchitis is distinguished by two forms:

  • acute;
  • Chronic.

Clinicians note that the acute stage of the development of the inflammatory process is much more amenable to treatment than pathology in chronic form.


The first symptoms should immediately consult a doctor. Self-medication can lead to serious complications.

After the initial examination and clarification of the anamnesis, additional diagnosis is carried out. The standard program includes the following:

  1. general and biochemical blood test
  2. STD test
  3. ultrasound of the scrotum and urogenital system;
  4. a smear from the urethra
  5. a general urine test.

If the results of these analyzes can not determine the cause of the inflammatory process, differential diagnostic methods are used.


As a rule, in the acute form of epididymoorkhita medicamentous therapy is sufficient — surgical intervention is not required. Treatment of the disease includes the following:

  • drug therapy;
  • wearing a special supporting bandage
  • Strict bed rest.

Medication in the treatment of acute and chronic forms of the disease includes the use of such drugs:

  1. antibiotics
  2. Anti-inflammatory;
  3. Aminoglycosides.

The regimen, dosage and duration of medication is prescribed only by the attending physician. The use of any medication alone, or the use of folk remedies can only aggravate the situation and provoke a serious complication. If conservative treatment does not give proper results, surgical intervention is used — the focus is eliminated.

It should be noted that with timely treatment and properly selected medication the disease does not lead to complications.


Prevention of the disease includes the following activities:

  • timely treatment of all inflammatory and infectious ailments
  • wearing comfortable underwear made of natural cloth
  • prevention of overheating or hypothermia of the genitourinary system
  • Maintaining a healthy lifestyle

Observance of these simple rules in practice makes it possible to prevent the development of not only epididymoortitis, but also other ailments of the genitourinary system.