Epididymoorchitis history and symptoms: Difference between revisions
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dima Nimri, M.D. [2]
Overview
The main symptoms of epididymoorchitis are scrotal pain and swelling. Other symptoms such as fever, nausea, vomiting and lower UTI symptoms may be present.[1][2][3][4]
History and Symptoms
The main symptoms of epididymoorchitis include:[1][2][3][4]
- Scrotal pain: scrotal pain in epididymoorchitis starts gradually, is usually unilateral and localized posterior to the testis. Pain my spread to the adjacent testis or radiate to the lower abdomen
- Scrotal swelling
- Lower urinary tract infection (UTI) symptoms: these include urgency, frequency, burning on urination (dysuria) or the presence blood in urine (hematuria)
- Constitutional symptoms: these include subjective or documented feeling of hotness, chills, nausea and vomiting
In the history, ask about certain precipitating factors to epididymoorchitis. These include:[2]
- Sexual history, number of partners and recent changes in partners. Make sure to ask about urethral discharge.
- Recent viral illness: Isolated orchitis is a common complication of mumps viral infection and it usually manifests 7-10 days following the onset of fever and parotitis.
- Trauma to the genitalia.
References
- ↑ 1.0 1.1 Trojian TH, Lishnak TS, Heiman D (2009). "Epididymitis and orchitis: an overview". Am Fam Physician. 79 (7): 583–7. PMID 19378875.
- ↑ 2.0 2.1 2.2 Stewart A, Ubee SS, Davies H (2011). "Epididymo-orchitis". BMJ. 342: d1543. PMID 21490048.
- ↑ 3.0 3.1 Kadish HA, Bolte RG (1998). "A retrospective review of pediatric patients with epididymitis, testicular torsion, and torsion of testicular appendages". Pediatrics. 102 (1 Pt 1): 73–6. PMID 9651416.
- ↑ 4.0 4.1 Luzzi GA, O'Brien TS (2001). "Acute epididymitis". BJU Int. 87 (8): 747–55. PMID 11350430.