Epididymitis
Epididymitis is called the inflammation of the epididymis. It usually arises from an upgrade of a bladder or prostate inflammation (also: after transurethral prostate resection or a vasectomy ) over the spermatic cord and can be unilateral or bilateral. A distinction is made between two types of the disease, acute and chronic epididymitis.
Typical pathogens are Neisseria gonorrhoeae and Chlamydia trachomatis, but also all cystitis - causing bacteria.
Symptoms
Of symptoms can be found slowly increasing pain, redness and overheating of the testicles and swelling in the testicles, possibly fever and pain during urination, similar to a urinary tract infection. In addition, blood may appear in the urine and ejaculate. Accompanying, as well as a few days earlier, the ejaculate may act as a sign of yellowish pus admixture. Sometimes the symptoms with the dangerous testicular torsion may be mistaken, in which often only a short window to save the testicle. When pain in the testicles, a doctor should be consulted always surprising.
Diagnostics
- Clinical examination
- Prehnsches characters
- Microbiological examination
- Residual urine
- Sonography
Therapy
General treatment methods that help to relieve pain and to the positive development of the healing process, include strict bed rest, cooling ( with Eisumschlägen ) and elevating the testes. The elevation of the testis is extremely important because the risk of a reactive cyst formation ( spermatocele ) reduced the epididymis. The illness can last up to 10 days and every 3-4 days should be examined sonographically. Until the scrotum again it can take up to 6 weeks feels normal. The most typical hardening of the epididymal head may persist for up to three months. A semen, approximately 6 weeks after gone inflammation may provide clues as to whether the disease is limited sperm quality or even caused infertility (in about 2 out of 10 cases ).
Depending on the pathogen different antibiotics are used.
Epidemiology
Epididymitis makes 1 of 144 outpatient visits (0.69 %) of men between 18 and 50 years from, or 600,000 cases in men 18 to 35 in the United States. Primarily occurs at the disease in men 16 to 30 and 51 to 70.