Epididymoorchitis history and symptoms
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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
History and Symptoms
The main symptoms of epididymoorchitis include:[1][2]
- 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.