epididymitis
Pronunciation: ep-ih-did-ih-MY-tis
Inflammation of the epididymis, typically caused by bacterial infection, resulting in scrotal pain and swelling.
Full Definition
Acute or chronic inflammation of the epididymis, the coiled tube located at the posterior aspect of the testis that stores and transports sperm. Acute epididymitis is most commonly caused by sexually transmitted organisms (Chlamydia trachomatis, Neisseria gonorrhoeae) in younger men or enteric bacteria (E. coli) in older men. Clinical presentation includes unilateral scrotal pain, swelling, erythema, and possible fever. Diagnosis is primarily clinical, supported by urinalysis and urine culture. Treatment involves appropriate antibiotic therapy based on likely pathogens and patient age.
Usage
Usage note: Distinguish from orchitis and testicular torsion; specify acute vs. chronic when relevant.
In Context
- "The patient was diagnosed with acute epididymitis and started on doxycycline for presumed chlamydial infection." — Clinical assessment
- "Chronic epididymitis may require surgical epididymectomy if conservative treatment fails." — Surgical consultation