Epididymoorchitis natural history, complications and prognosis
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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
Natural History
If left untreated, acute epididymoorchitis may progress to chronic cases.[1]
Complications
Some of the complications of an acute epididymoorchitis infection include:[1]
- Progression of the infection to chronic epididymoorchitis
- Formation of a reactive hydrocele
- Abscess formation
- Infarction of the testicle
- Sepsis
- Infertility
Prognosis
The prognosis of epididymoorchitis is usually excellent. In young patients in whom epididymoorchitis is due to a sexually transmitted disease, acute epididymoorchitis usually resolves within 2 weeks of the initiation of medical therapy. In men older than the age of 40, 90% of cases of epididymitis resolve within 30 days of treatment.[2]