Epididymis - Causes, Symptoms and Treatment

Epididymis Definition

Inflammation of the epididymis is called epididymitis . A structure within the scrotum attached to the backside of the testis. A long, narrow, convoluted tube, part of the spermatic duct system, that lies on the posterior aspect of each testicle, connecting it to the vas deferens. During ejaculation , sperm flow from the lower portion of the epididymis.

Epididymis is usually affects adults and is rare before puberty. The epididymis is part of the human male reproductive system and is present in all male mammals . Epididymitis may spread to the testicle itself, causing orchitis; bilateral epididymitis may cause sterility.

Epididymis Causes

Acute epididymitis causes swelling of the scrotum, pain in the testicles, and sometimes a fever of six weeks duration or less The epididymis is a coiled segment of the spermatic ducts that serves to store, mature and transport spermatozoa between the testis and the vas. Epididymitis may begin with a low grade fever and chills and a heavy sensation in the testicle. The testicle becomes increasingly sensitive to pressure or traction.

Epididymitis is caused by spread of infection from the urethra or the bladder. The most common organisms involved in the condition in young heterosexual men are gonorrhoea and chlamydia.

Epididymis Symptoms

Symptoms start gradually and often peak within 24 hours. Pain usually begins in the scrotum or groin.

The other Symptoms of the epididymis may be included:

• fever
• Groin pain
• Testicle pain
• Painful scrotal swelling
• testicular lump
• Discharge from urethra
• Pain with urination
• Pain with intercourse
• Blood in the semen
• swollen testicle on affected side
• swollen groin area on affected side

Epididymis Treatments

Bedrest, with elevation of the scrotum and ice packs applied to the area, is recommended.

Hospitalization is an option, depending on the degree of infection.

Avoid very hot compresses to soothe the inflammation; they can damage the sperm-making tubes.

Sexually transmitted infections require special antibiotics, and the patient's sexual partners should also be simultaneously treated.