Epididymitis


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epididymitis

[‚ep·ə‚did·ə′mīd·əs]
(medicine)
Inflammation of the epididymis.

Epididymitis

 

inflammation of the epididymis. The disease may be specific (in tuberculosis, gonorrhea, syphilis, brucellosis) or nonspecific (caused by staphylococci, streptococci, or other infectious agents).

Acute epididymitis has a sudden onset. There is pain in the scrotum; the pain often extends into the inguinal and iliac regions. The scrotum swells and reddens, and there is enlargement and induration of the epididymis. There is pain in the epididymis, and the body temperature rises.

In chronic epididymitis the scrotum is unchanged, and the epididymis becomes only moderately enlarged and indurated. There is only slight pain in the epididymis. In tuberculous epididymitis the epididymis usually adheres to the scrotum, and formation of fistulas is characteristic.

Treatment for acute epididymitis entails confinement to bed and the use of cold compresses on the scrotum, a suspensory, and antibiotics. Chronic epididymitis is treated by antibacterial preparations and physical therapy. Surgical removal of the epididymis (epididymectomy) is required in tuberculous epididymitis. Bilateral disease of the epididymis may result in infertility.

Figure 1 Optical diagram of a simple epidiascope in two modes of operation [for the sake of simplicity, only one light source—an incandescent lamp (2) —is shown]: (a) episcopic projection, (b) diascopic projection. In the episcopic-projection mode, beams from the light source (2) are directed onto an opaque object (6) in the light-shielded housing (1) by means of spherical mirrors (3) and (5). Some of the beams diffusely scattered by the object are reflected by a mirror (4) through a high-transmission lens (7). The fan (11) represents the projector’s cooling system. In the diascopic-projection mode, the mirror (5) is tilted so that beams from the light source (2) can enter a condenser (8). Uniformly Illuminating a diapositive that has been inserted into a holder (9), the condenser directs the beams into a lens (10), which projects an image onto a screen.

References in periodicals archive ?
Epididymitis is more common in young adults secondary to sexually transmitted pathogens.
b) Includes cryptorchidism, hypospadias, inguinal hernia, varicocele, testicular hydrocele, incarcerated hernia, phimosis, testicular torsion, chlamydia, gonorrhea, and epididymitis, combined into one variable (yes/no).
Cytomegaloviral epididymitis in a patient with the acquired immune deficiency syndrome.
genitalium" in patients with repeated urinary tract infections, abnormal bleeding, lower abdominal pain, persistent discharge, epididymitis, prostatitis, and what is often labeled treatment-resistant candidiasis.
In addition, when infection persists, it leads to complications such as prostatitis, epididymitis, cystitis, pyelonephritis and bacteremia, which is associated with significant mortality [6, 7].
Besides causing pelvic inflammatory disease in women and epididymitis in men, chlamydia can trigger conjunctivitis or sexually acquired reactive arthritis in adults.
In men, chlamydia can lead to a condition known as epididymitis, which is a painful inflammation of the tubes that transport sperm.
Epididymitis and epididymonorchitis can result in abscess (pus) formation, impaired fertility, and generalised septicemia.
In addition, minor symptoms such as articular manifestations, involvement of the digestive tract, epididymitis, vascular involvement, and neuropsychiatric symptoms can also be found.
1998) A retrospective review of pediatric patients with epididymitis, testicular torsion and torsion of the testicular appendages.
In men, gonococcal infections cause symptomatic urethritis which, if chronic for lack of treatment, can be complicated by epididymitis in 10-30% of cases.
Acute epididymitis * Epididymo-orchitis * Hydrocele * Hematocele * Scrotal hematoma * Trauma to inguinoscrotal region