Epididymitis

Epididymitis is a swelling (inflammation) of the epididymis. The epididymis is a cord-like structure along the back part of the testicle. Epididymitis is usually, but not always, caused by infection. This is usually a sudden problem beginning with chills, fever and pain behind the scrotum and in the testicle. There may be swelling and redness of the testicle.

DIAGNOSIS

Physical examination will reveal a tender, swollen epididymis. Sometimes, cultures are obtained from the urine or from prostate secretions to help find out if there is an infection or if the cause is a different problem. Sometimes, blood work is performed to see if your white blood cell count is elevated and if a germ (bacterial) or viral infection is present. Using this knowledge, an appropriate medicine which kills germs (antibiotic) can be chosen by your caregiver. A viral infection causing epididymitis will most often go away (resolve) without treatment.

HOME CARE INSTRUCTIONS

  • Hot sitz baths for 20 minutes, 4 times per day, may help relieve pain.

  • Only take over-the-counter or prescription medicines for pain, discomfort or fever as directed by your caregiver.

  • Take all medicines, including antibiotics, as directed. Take the antibiotics for the full prescribed length of time even if you are feeling better.

  • It is very important to keep all follow-up appointments.

SEEK IMMEDIATE MEDICAL CARE IF:

  • You have a fever.

  • You have pain not relieved with medicines.

  • You have any worsening of your problems.

  • Your pain seems to come and go.

  • You develop pain, redness, and swelling in the scrotum and surrounding areas.

MAKE SURE YOU:

  • Understand these instructions.

  • Will watch your condition.

  • Will get help right away if you are not doing well or get worse.