Epididymitis is a medical condition in which the epididymis becomes inflamed. This condition may be mildly to very painful. Antibiotics may be needed to control a component of infection. Image File history File linksMetadata Illu_testis_surface. ... The vas deferens, also called ductus deferens, (Latin: carrying-away vessel) is part of the male anatomy of some species, including humans. ... The International Statistical Classification of Diseases and Related Health Problems (most commonly known by the abbreviation ICD) provides codes to classify diseases and a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or disease. ... The following codes are used with International Statistical Classification of Diseases and Related Health Problems. ... // N00-N39 - Diseases of the genitourinary system: urinary system (N00-N08) Glomerular diseases Prefixes: .2 Diffuse membranous glomerulonephritis (N00) Acute nephritic syndrome (N01) Rapidly progressive nephritic syndrome (N02) Recurrent and persistent haematuria (N03) Chronic nephritic syndrome (N04) Nephrotic syndrome Lipoid nephrosis (N05) Unspecified nephritic syndrome (N06) Isolated proteinuria with specified... The International Statistical Classification of Diseases and Related Health Problems (most commonly known by the abbreviation ICD) provides codes to classify diseases and a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or disease. ... The following is a list of codes for International Statistical Classification of Diseases and Related Health Problems. ... The Disease Bold textDatabase is a free website that provides information about the relationships between medical conditions, symptoms, and medications. ... eMedicine is an online clinical medical knowledge base that was founded in 1996. ... Medical Subject Headings (MeSH) is a huge controlled vocabulary (or metadata system) for the purpose of indexing journal articles and books in the life sciences. ... Male Anatomy The epididymis is part of the human male reproductive system and is present in all male mammals. ... Hurting redirects here. ... Staphylococcus aureus - Antibiotics test plate. ...

Diagnosis

Epididymitis can be hard to distinguish from testicular torsion. Sometimes, both can occur at the same time. Tests are needed to distinguish chronic epididymitis from a range of other disorders that can cause constant scrotal pain. These include: testicular cancer, enlarged scrotal veins (varicocele) or a cyst within the epididymis. As well, the nerves in the scrotal area are connected to those of the abdomen, sometimes causing pain similar to a hernia (see referred pain). Tests may also include a physical examination and ultrasound. A urologist may need to be consulted. In testicular torsion the spermatic cord that provides the blood supply to a testicle is twisted, cutting off the blood supply, often causing orchalgia. ... Testicular cancer is a type of cancer that develops in the testicles, a part of the male reproductive system. ... Cross section showing the pampiniform plexus Varicocele is an abnormal enlargement of the veins in the scrotum draining the testicles. ... A cyst is a closed sac having a distinct membrane and developing abnormally in a cavity or structure of the body. ... Male Anatomy The epididymis is part of the human male reproductive system and is present in all male mammals. ... A hernia is often likened to the failure of a tire. ... Referred pain is an unpleasant sensation localized to an area separate from the site of the causative injury or other painful stimulation. ... Ultrasound is sound with a frequency greater than the upper limit of human hearing, this limit being approximately 20 kilohertz (20,000 hertz). ... Urology is the field of medicine that focuses on the urinary tracts of males and females, and of the male reproductive system. ...

Chronic epididymitis is epididymitis which lasts past the first treatment. Typically, a second, longer round of treatment is used. Chronic epididymitis is characterised by inflammation even when there is no infection present. This condition can develop even without the presence of the previously described known causes. It is believed that the hypersensitivity of certain structures, including nerves and muscles, may cause or contribute to chronic epididymitis. As a last resort, surgery may be employed. An abscess on the skin, showing the redness and swelling characteristic of inflammation. ... An infection is the detrimental colonization of a host organism by a foreign species. ... Hypersensitivity is an immune response that damages the bodys own tissues. ... A cardiothoracic surgeon performs a mitral valve replacement at the Fitzsimons Army Medical Center. ...

Complications

Untreated, acute epididymitis can lead to a variety of complications. These include: chronic epididymitis, abscess, permanent damage or even destruction of the epididymis and testicle (resulting in infertility and/or hypogonadism), and infection may spread to any other organ or system of the body. Look up Abscess in Wiktionary, the free dictionary. ... Male Anatomy The epididymis is part of the human male reproductive system and is present in all male mammals. ... The testicles, or testes from latin coi (singular testis), are the male generative glands in animals. ... Infertility is the inability to naturally conceive a child or to carry a pregnancy to full term. ... Hypogonadism is a medical term for a defect of the reproductive system which results in lack of function of the gonads (ovaries or testes). ... An infection is the detrimental colonization of a host organism by a foreign species. ... In biology, an organ (Latin: organum, instrument, tool) is a group of tissues that perform a specific function or group of functions. ...

Treatment

Treatment options include: antibiotics Doxycycline is one example of the antibiotics that are possibly used, elevation of the scrotum, cold compresses applied regularly to the scrotum, hospitalisation in severe cases, check-ups to ensure the infection has cleared up. Pain is frequently so severe as to require opiate analgesics such as hydrocodone. If traditional treatment options have been exhausted, then a procedure called a cord block would be done. This consists of an injection into the nerve that traces along the epiditymis. The injection is a compound of several medications including a steroid, pain killers, and a high dose of an anti-inflammatory. This treatment usually quells the pain for 2-3 months in ideal conditions. Some patients may only experience an even shorter duration of 2-3 days, while the fortunate ones in rare occasions are never bothered again. This procedure would of course have to be repeated when necessary, until the problem goes away completely, or until the routine is simply too bothersome. In that case, a patient may then decide to have the epididymis completely removed, thus rendering all pain obsolete. In the case of a scrotal abscess, this may have to be done long before other treatment options are considered. An antibiotic is a drug that kills or slows the growth of bacteria. ... In some male mammals, the scrotum is a protuberance of skin and muscle containing the testicles. ... In some male mammals, the scrotum is a protuberance of skin and muscle containing the testicles. ... An infection is the detrimental colonization of a host organism by a foreign species. ... It has been suggested that Vicodin be merged into this article or section. ...

Epidemiology

This is usually caused by a secondary bacterial infection that is brought about by a variety of underlying conditions. Some cases of epididymitis are characterised by inflammation even when there is no infection. Urinary tract infections are the most common cause (e.g E. coli). It may also be caused by STDs, chlamydia (responsible for nearly 50-60% of cases) and gonorrhea. The bacteria in the urethra back-track through the urinary and reproductive structures to the epididymis. It can also be caused by genito-urinary surgery, including prostatectomy, urinary catheterization, or congenital kidney and bladder problems. An infection is the detrimental colonization of a host organism by a foreign species. ... An abscess on the skin, showing the redness and swelling characteristic of inflammation. ... A urinary tract infection (UTI) is a bacterial infection that affects any part of the urinary tract. ... Binomial name Escherichia coli T. Escherich, 1885 Escherichia coli (usually abbreviated to E. coli) is one of the main species of bacteria that live in the lower intestines of warm-blooded animals (including birds and mammals) and are necessary for the proper digestion of food. ... Sexually-transmitted infections (STIs), also known as sexually-transmitted diseases (STDs), are diseases that are commonly transmitted between partners through some form of sexual activity, most commonly vaginal intercourse, oral sex, or anal sex. ... Chlamydia is a common term for infection with any bacterium belonging to the phylum Chlamydiae. ... Gonorrhea (gonorrhoea in British English) is among the most common sexually-transmitted diseases in the world and is caused by Gram-negative bacterium Neisseria gonorrheae. ... Phyla/Divisions Actinobacteria Aquificae Bacteroidetes/Chlorobi Chlamydiae/Verrucomicrobia Chloroflexi Chrysiogenetes Cyanobacteria Deferribacteres Deinococcus-Thermus Dictyoglomi Fibrobacteres/Acidobacteria Firmicutes Fusobacteria Gemmatimonadetes Nitrospirae Omnibacteria Planctomycetes Proteobacteria Spirochaetes Thermodesulfobacteria Thermomicrobia Thermotogae Bacteria (singular, bacterium) are a major group of living organisms. ... In anatomy, the urethra is a tube which connects the urinary bladder to the outside of the body. ... Male Anatomy The epididymis is part of the human male reproductive system and is present in all male mammals. ... A Prostatectomy is the surgical removal of all or part of the prostate gland. ...

A reflux of sterile urine through the vas deferens can cause chemical epididymitis. Physical stress, such as heavy lifting, may cause such a reflux. Chemical epididymitis may also result from drugs such as amiodarone. The vas deferens, also called ductus deferens, (Latin: carrying-away vessel) is part of the male anatomy of some species, including humans. ... Amiodarone belongs to a class of drugs called Vaughan-Williams Class III antiarrhythmic agent. ...

Acute epididymitis has a tendency to spontaneously recur months or years after a successfully treated case.

Additional images

Section of epididymis of guinea-pig. X 255. Image File history File links Size of this preview: 547 × 350 pixelsFull resolution (547 × 350 pixel, file size: 34 KB, MIME type: image/png) File links The following pages on the English Wikipedia link to this file (pages on other projects are not listed): Epididymitis Wikipedia:Grays Anatomy images...

Epididymitis due to Gonorrhea infection. Image File history File links No higher resolution available. ... Gonorrhea (gonorrhoea in British English) is among the most common sexually-transmitted diseases in the world and is caused by Gram-negative bacterium Neisseria gonorrheae. ...

See also

• hydrocele
• orchitis
• rete tubular ectasia
• spermatocele