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 ?
Chronic epididymitis: is epididymectomy a valid surgical treatment?
Additionally, suspicion for TB should be higher in patients whose symptoms fail to resolve or who have recurrent symptoms after empiric treatment for common causes of acute epididymitis [8].
This was confirmed in 87.5% (42/48) of these patients, but 12.5% (6/48) of patients turned out to have acute epididymitis. Thirty-three percent (14/42) of patients with testicular torsion had a positive Prehn's sign at presentation, 19.0% (8/42) had no cremaster reflex, and 54.7% (23/42) had a retained testis unilaterally.
Radionuclide imaging involves intravenous isotope injection and subsequent imaging of the scrotum, which can be used to differentiate torsion from epididymitis. Epididymitis results in "hot spots" caused by increased perfusion near the testicle versus "cold spots" caused by decreased perfusion seen in torsion.
The study subjects consisted of patients included in the LHID2000 who were newly diagnosed with epididymitis and orchitis (ICD-9-CM: 604), received a prescription for antibiotic medication, and received testicular sonography examination between January 2000 and December 2013 from the LHID2000 (Figure 1).
A rounded pattern is more related to venous infarction, which is commonly secondary to epididymitis or germ cell tumors [3].
(ii) Epididymitis: This is the inflammation of the epididymis, a structure in the male reproductive system that joins the testes and the vas deferens.
Infection has been thought to one possible mechanism in the genesis of HSS and in septic embolisms, and abscesses have been proposed as the cause of pulmonary aneurysm as there are many reports of aneurysm preceded by infection such as scrotal abscess and epididymitis. [2] However, the infectious etiology is not sustainable for two reasons: first, because of failure of various antibiotic regimens in the treatment of HSS and, second, there has been lack of positive blood culture in HSS.
Acute prostatitis can lead to prostatic abscess or epididymitis. A prostatic abscess is suspected when a patient fails to improve despite proper antibiotic treatment.
Clinical manifestations of STD, for example, Chlamydia range from Urethritis, Epididymitis, Orchitis, Infertility in men to Cervicitis, Endometritis, Salpingitis, PID, infertility and Perihepatitis in women; and untreated STDs that display such manifestations are often fatal.
Their decision for Smith to have a vasectomy, to end a long and painful susceptibility to an inflammation called epididymitis, meant they had to agree that conceiving a child together was not their highest priority.
In this study we tried to recognize mild epididymitis as an underrecogniczed cause of idiopathic chronic scrotal pain.Methods: We described a consecutive series of 44 patients with idiopathic chronic scrotal pain characterized by mild scrotal pain mild to moderate tenderness of epididymis without abnormal swelling of epididymis.