1. Digital Urology Journal: Epididymitis epididymitis. The When a man complains of scrotal pain, acute or chronic epididymitis is far and away that most common diagnosis. Acute http://www.duj.com/epididymitis.html

EPIDIDYMITIS The epididymis is a structure which lies on and around each testicle. It functions in the transport, storage and maturation of sperm cells originating from the testicle. When a man complains of scrotal pain, acute or chronic epididymitis is far and away that most common diagnosis. Acute epididymitis is usually more severe involving more significant swelling and pain than chronic epididymitis. Epididymitis which lasts more than six weeks is considered chronic epididymtitis. Symptoms and Causes The symptoms of epididymitis include scrotal pain and swelling. The pain or swelling may be mild or severe. At times the epididymus may become so inflamed that a patient is unable to walk (due to pain). Infection may also become so severe that it spreads to the adjacent testicle. Such cases may cause fever and, rarely, abscess formation. Most cases of epididymitis are not severely disabling; usually the pain and swelling is not severe. It is common for pain to increase as the day progresses. It has long been thought that straining or strainful work was a contributory factor in epididymitis. Recently, however, this has been considered to be less of a factor and infection is now considered the most common cause of epididymitis. The infective agents most likely to cause epididymitis are the bacteria which commonly cause other urinary infections. A much less common cause of epididymitis is the gonorrhea bacteria. Treatment The treatment for acute epididymitis is well accepted and effective. It includes antibiotics therapy, bed rest, scrotal support ("supporter"), and oral anti-inflammatory drugs (such as Ibuprofen). Each of these modes of treatment is important. Chronic epididymitis is more of a problem (though less severe) because it's symptoms seem to persist even after the initial treatment. In these cases a second round of therapy may be helpful. Beyond this, longer term anti-inflammatory medication is recommended. Surgical treatment for chronic epididymitis is an uncommon last resort.

2. Epididymitis Usually resulting from trauma or infection, this site discusses further causes. Symptoms, treatment and who is most at risk for this disease are covered. http://www.uro.com/epididym.htm

Epididymitis The epididymis is a structure of tubules that transport sperm from the testicle. It is palpable on physical examination on the posterior or rear of the testicle. The tubules within the epididymis merge to form the vas deferens. The vas deferens is the tube that is cut during a vasectomy to prevent sperm from mixing with the remainder of ejaculatory fluid.

3. MedlinePlus Medical Encyclopedia: Epididymitis Acute epididymitis causes swelling of the scrotum, pain in the testicles, and sometimes a fever of six weeks epididymitis is caused by spread of infection from the urethra or the http://www.nlm.nih.gov/medlineplus/ency/article/001279.htm

@import url(http://www.nlm.nih.gov/medlineplus/images/advanced.css); Skip navigation Medical Encyclopedia Other encyclopedia topics: A-Ag Ah-Ap Aq-Az B-Bk ... Z Epididymitis Contents of this page: Illustrations Definition Causes, incidence, and risk factors Symptoms ... Prevention Illustrations Male reproductive anatomy Blood in semen Pathway of sperm Male reproductive system Definition Return to top Epididymitis is an inflammation of the epididymis (the tubular structure that connects the testicle with the vas deferens). Causes, incidence, and risk factors Return to top Acute epididymitis causes swelling of the scrotum, pain in the testicles, and sometimes a fever of six weeks duration or less (usually with a gradual onset over several days). If not treated, or in some other cases, the condition can become chronic. In chronic cases, there is usually no swelling, but simply pain. The incidence is approximately 600,000 cases per year. The highest prevalence is in young men 19 to 35 years of age. The disorder is a major cause of hospital admissions in the military (causing approximately 20% of admissions). Epididymitis is caused by spread of infection from the urethra or the bladder. The most common organisms involved in the condition in young heterosexual men are gonorrhoea and chlamydia. In children and older men, typical uropathogens, such as coliform oraganisms (

4. HealthCentral - General Encyclopedia - Epididymitis HealthCentral provides the latest consumer health information including news, minicheckups, health library, encyclopedia, quizzes, tools. Medical health search on allergies, cancer, prescription http://www.healthcentral.com/mhc/top/001279.cfm

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5. Epididymitis Genitourinary Teaching File. epididymitis. Nuclear Medicine. Flow and static images from nuclear medicine testicular scan show increased flow to the left testicle on both early and late imaging. http://www.med.wayne.edu/diagRadiology/TF/GU/GU03.html

Genitourinary Teaching File Epididymitis Nuclear Medicine Flow and static images from nuclear medicine testicular scan show increased flow to the left testicle on both early and late imaging. In this patient with left testicular pain, the findings are compatible with left epididymitis. Ultrasound Grayscale and color Doppler imaging of the scrotum shows enlargement of the epididymal head with increased blood flow, compatible with epididymitis. A septated hydrocele is also present, compatible with an infected hydrocele. [ WSU Radiology Home Page Interesting Case Review ]

6. Epididymitis epididymitis. DESCRIPTION Inflammation of the epididymis resulting in scrotal pain, swelling and induration of the posteriorlying epididymis, and eventual scrotal wall edema, involvement of the adjacent testicle, and hydrocele formation may cause a non-infectious epididymitis, that resolves with decreasing the drug http://www.5mcc.com/Assets/SUMMARY/TP0310.html

Epididymitis DESCRIPTION: Inflammation of the epididymis resulting in scrotal pain, swelling and induration of the posterior-lying epididymis, and eventual scrotal wall edema, involvement of the adjacent testicle, and hydrocele formation System(s) affected: Reproductive Genetics: N/A Incidence/Prevalence in USA: Common Predominant age: Usually younger sexually active men or older men with urinary infection, but may also rarely occur in prepubertal boys Predominant sex: Male only CAUSES: Younger than age 35 Usually chlamydia or Neisseria gonorrhea Look for serous urethral discharge (chlamydia) or purulent discharge (gonorrhea) Older than age 35 Coliform bacteria usually, but sometimes Staphylococcus aureus or epidermidis Often associated with distal urinary tract obstruction Tuberculosis, if sterile pyuria and nodularity of vas deferens Sterile urine reflux after transurethral prostatectomy Granulomatous reaction following bacillus Calmette-Guerin (BCG) intravesical therapy for superficial bladder cancer Prepubertal boys Usually coliform bacteria Evaluate for underlying congenital abnormalities, such as vesicoureteral reflux or ectopic ureter

7. EMedicine - Epididymitis : Article By Michael B Brooks, MD epididymitis epididymitis is an inflammation or infection of the epididymis, a convoluted duct that lies on the posterior surface of the testicle. http://www.emedicine.com/cgi-bin/foxweb.exe/showsection@/em/ga?book=emerg&topici

8. EMedicine Emergency Medicine : - Online Medical Textbooks And Physician Referenc Michael B Brooks M.D., Department of Emergency Medicine, Brooke Army Medical Center provides information on the disease and its effects. http://www.emedicine.com/cgi-bin/foxweb.exe/showsection@/em/ga?book=emerg&to

9. EMedicine - Epididymitis : Article By Badrinath R Konety, MD epididymitis Acute epididymitis is an inflammation of the epididymis. It is a significant cause of morbidity and is frequently http://www.emedicine.com/med/topic704.htm

(advertisement) Home Specialties Resource Centers CME ... Patient Education Articles Images CME Patient Education Advanced Search Consumer Health Link to this site Back to: eMedicine Specialties Medicine, Ob/Gyn, Psychiatry, and Surgery Urology Epididymitis Last Updated: June 28, 2002 Rate this Article Email to a Colleague Synonyms and related keywords: epididymo-orchitis, orchitis, epididymis, testicular torsion, bladder outlet obstruction, BOO, urethral stricture, ectopic ureter, ectopic vas deferens, prostatic utricle, urethral duplication, posterior urethral valves, urethrorectal fistula, detrusor sphincter dyssynergia, vesicoureteral reflux, benign prostatic hyperplasia, BPH, sexually transmitted diseases, STDs AUTHOR INFORMATION Section 1 of 11 Author Information Introduction Clinical Differentials ... Bibliography Author: Badrinath R Konety, MD , Assistant Professor, Department of Urology, University of Iowa Coauthor(s): Michael Franks, MD , Staff Physician, Department of Urology, University of Pittsburgh Medical Center Badrinath R Konety, MD, is a member of the following medical societies:

10. Epididymitis In Sheep How to recognize and manage this chronic infection of the epididymis and testes associated with lowered ram fertility. http://www.gov.on.ca/omafra/english/livestock/sheep/facts/info_shpepid.htm

Our search engine interface requires a JavaScript enabled browser. If you cannot enable JavaScript in your browser, then you may use an alternate interface found at the following web address - http://www.search.gov.on.ca:8002/compass?view-template=simple1 Epididymitis in Sheep Author: Dr. S. John Martin - Veterinary Scientist, Sheep, Goat and Swine/OMAF Creation Date: 1 June 1999 Last Reviewed: 1 June 1999 There are not different strains of one bacteria causing this disease, but two different bacteria causing almost identical symptoms in rams. In western Canada the principle bacteria implicated are Brucella ovis and Actinobacillus seminis . In Ontario there have been very few isolations of B. ovis , but epididymitis is still a problem. In this province the bacteria thought to be the cause is Actinobacillus seminis . However, the result is the same, a chronic infection of the epididymis and testes with lowered fertility of the ram. There is no treatment for these conditions. Ram management is important. Young rams should be run separate to older rams, and wherever possible only used to breed first lamb ewes. In some countries vaccines are used to protect against

11. EMedicine - Epididymitis : Article By Michael B Brooks, MD epididymitis epididymitis is an inflammation or infection of the epididymis, a convoluted duct that lies on the posterior surface of the testicle. If the inflammation or infection extends to the http://www.emedicine.com/emerg/topic166.htm

(advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Emergency Medicine Genitourinary Epididymitis Last Updated: February 28, 2001 Rate this Article Email to a Colleague AUTHOR INFORMATION Section 1 of 10 Author Information Introduction Clinical Differentials ... Bibliography Author: Michael B Brooks, MD , Consulting Staff, Department of Emergency Medicine, Bethesda North Medical Center Michael B Brooks, MD, is a member of the following medical societies: Alpha Omega Alpha , and American Academy of Emergency Medicine Editor(s): Robert M McNamara, MD, FAAEM , Professor of Emergency Medicine, Temple University; Chief, Department of Internal Medicine, Section of Emergency Medicine, Temple University Hospital; Francisco Talavera, PharmD, PhD , Senior Pharmacy Editor, Pharmacy, eMedicine; Richard Sinert, DO , Associate Professor of Emergency Medicine, Clinical Assistant Professor of Medicine, State University of New York College of Medicine; Consulting Staff, Department of Emergency Medicine, Kings County Hospital Center; John Halamka, MD

12. This Page Has Moved Provides physician treatment protocols concerning epididymitis. http://www.hc-sc.gc.ca/hpb/lcdc/publicat/stdguide/epidid_e.html

http://www.hc-sc.gc.ca/pphb-dgspsp/publicat/ccdr-rmtc/95vol21/21s4/index.html http://www.hc-sc.gc.ca/pphb-dgspsp/publicat/ccdr-rmtc/95vol21/21s4/index.html

13. EMedicine - Epididymitis : Article By Badrinath R Konety, MD epididymitis Acute epididymitis is an inflammation of the epididymis. It is a significant cause of morbidity and is frequently observed by urologists, emergency medicine practitioners, and epididymo-orchitis is typically present. Chronic epididymitis refers to epididymal pain and inflammation (usually http://www.emedicine.com/MED/topic704.htm

(advertisement) Home Specialties Resource Centers CME ... Patient Education Articles Images CME Patient Education Advanced Search Consumer Health Link to this site Back to: eMedicine Specialties Medicine, Ob/Gyn, Psychiatry, and Surgery Urology Epididymitis Last Updated: June 28, 2002 Rate this Article Email to a Colleague Synonyms and related keywords: epididymo-orchitis, orchitis, epididymis, testicular torsion, bladder outlet obstruction, BOO, urethral stricture, ectopic ureter, ectopic vas deferens, prostatic utricle, urethral duplication, posterior urethral valves, urethrorectal fistula, detrusor sphincter dyssynergia, vesicoureteral reflux, benign prostatic hyperplasia, BPH, sexually transmitted diseases, STDs AUTHOR INFORMATION Section 1 of 11 Author Information Introduction Clinical Differentials ... Bibliography Author: Badrinath R Konety, MD , Assistant Professor, Department of Urology, University of Iowa Coauthor(s): Michael Franks, MD , Staff Physician, Department of Urology, University of Pittsburgh Medical Center Badrinath R Konety, MD, is a member of the following medical societies:

14. Medical Encyclopedia: Epididymitis (Print Version) Medical Encyclopedia epididymitis. epididymitis is an inflammation of the epididymis (the tubular structure that connects the testicle with the vas deferens). http://www.nlm.nih.gov/medlineplus/print/ency/article/001279.htm

To print this page, use the print option from your browser. To close this window, click on the "x" in the upper right hand corner of the window. Medical Encyclopedia: Epididymitis URL of this page: http://www.nlm.nih.gov/medlineplus/ency/article/001279.htm Definition Epididymitis is an inflammation of the epididymis (the tubular structure that connects the testicle with the vas deferens). Causes, incidence, and risk factors Acute epididymitis causes swelling of the scrotum, pain in the testicles, and sometimes a fever of six weeks duration or less (usually with a gradual onset over several days). If not treated, or in some other cases, the condition can become chronic. In chronic cases, there is usually no swelling, but simply pain. The incidence is approximately 600,000 cases per year. The highest prevalence is in young men 19 to 35 years of age. The disorder is a major cause of hospital admissions in the military (causing approximately 20% of admissions). Epididymitis is caused by spread of infection from the urethra or the bladder. The most common organisms involved in the condition in young heterosexual men are gonorrhoea and chlamydia. In children and older men, typical uropathogens, such as coliform oraganisms ( E. coli

15. Epididymitis Patient/Family Resources Provides patient and family resource information concerning the disease. http://www.slis.ua.edu/dls/cchs/main/patientinfo/urology/testes/epididymitis.htm

[an error occurred while processing this directive] Patient/Family Resources by Topic: Urology Epididymitis Patient/Family Resources Spanish Miscellaneous See also: General Urology Patient/Family Resources Epididymitis Patient/Family Resources MD Consult: Homepage Health Sciences Library subscription INFO Patient Handouts Table of content Epididymitis: Access document Image Testicular Exploration: Access document Image Chlamydial Infection in Men: English Spanish Image American Academy of Family Physicians (familydoctor.org): Homepage Self Care Flowcharts: List of documents Genital Problems in Men: Access document MEDLINE plus Medical Encyclopedia: Table of contents Epididymitis: English Spanish InteliHealth Disease and Condition Guide Table of contents Epididymitis and Orchitis: Access document Merck Manual - Second Home Edition Table of contents Section 21. Men's Health Issues: Table of contents Chapter 238. Disorders of the Penis and Testes: Table of contents Introduction: Access document Epididymitis and Epididymo-orchitis: Access document Complete Home Medical Guide: Table of contents Health Concerns of Men Table of contents Testicles and Scrotum: Access document Epididymitis: Access document Spanish MEDLINE plus Medical Encyclopedia: Table of contents Epididymitis: English Spanish Miscellaneous Epididymitis Patient/Family Resources Healthfinder: Homepage Urology: List of documents YAHOO - Health:Medicine:Urology Additional Urology resources ( These sites have not been reviewed.

16. Orchitis And Epididymitis Orchitis and epididymitis. Reviewed by Mr John Macfarlane, consultant urological surgeon. The testicles old. What is epididymitis? Inflammation http://www.netdoctor.co.uk/diseases/facts/epididymitis.htm

NetDoctor.co.uk Home News and features News Newsletter Features Encyclopaedia Diseases Examinations Medicines Premium services SMS services StayQuit thediet Health centres Allergy and asthma Children's health Depression Eczema ... All health centres Discussion and support Discussion forums Support groups Services Ask the doctor Find a hospital Search Medline Test yourself Information About NetDoctor Commercial opportunities NetDoctor.com Orchitis and epididymitis Mr John Macfarlane , consultant urological surgeon The testicles and epididymis Men have two testicles - one in each side of the scrotum - which produce sperm cells and hormones. The sperm is stored and allowed to mature in the epididymis (a convoluted glandular tube the top and side of each testicle) before it is conveyed to the spermatic ducts. Although they are positioned close to each other anatomically and share a few common membranes, inflammation in the testicles and in the epididymis can have quite different symptoms. What is orchitis?

17. This Page Has Moved Disease or syndrome cervicitis chancroid chlamydial infections Chlamydiose epididymitis genital herpes simplex virus infections genital warts and human http://www.hc-sc.gc.ca/hpb/lcdc/publicat/stdguide/hiv_e.html

http://www.hc-sc.gc.ca/pphb-dgspsp/publicat/ccdr-rmtc/95vol21/21s4/index.html http://www.hc-sc.gc.ca/pphb-dgspsp/publicat/ccdr-rmtc/95vol21/21s4/index.html

18. Epididymitis epididymitis. epididymitis is an inflammation of the epididymis (a component of Cause epididymitis usually occurs following a sexually transmitted infection (Chlamydia, Gonorrhea http://www.symptomtracker.com/page1112.htm

SymptomSolutions, Inc. The New Look Of Health And Wellness Epididymitis Epididymitis is an inflammation of the epididymis (a component of the male reproductive system that is involved in the maturation of sperm). Symptoms - Symptoms may include swelling and tenderness of the scrotum and fever with chills. Cause - Epididymitis usually occurs following a sexually transmitted infection ( Chlamydia Gonorrhea Syphilis , etc.), Prostatitis , or a Urinary Tract Infection . These infections may spread by sexual contact, injury to the scrotum, or other means. Diagnosis - Observation of the aforementioned symptoms should prompt an evaluation by a physician. The evaluation may include a physical examination, urinalysis, urine culture, blood tests or other specific lab tests to determine the infectious cause. Treatment - A physician may prescribe antibiotics to fight an apparent bacterial infection. Prescription or over-the-counter pain medications may also be recommended. Home-care should involve supporting the inflamed scrotum by laying with a towel between the legs. An ice pack may help reduce swelling. Once pain has subsided, an athletic supporter should be used for short period to help support the scrotum.

19. Epididymitis - Highlights Of The Canadian STD Guidelines - 1998 Edition - PPHB - epididymitis. Syndrome. Who. Organisms Etiology. Symptoms Signs. Diagnostic Features. Treatment. Contact Management. epididymitis. Most at risk •males 35 years. http://www.hc-sc.gc.ca/pphb-dgspsp/publicat/std-mts98hls/std98hfe.html

Epididymitis Syndrome Who Diagnostic Features Treatment Contact Management Epididymitis Most at risk: Chlamydia trachomatis Neisseria gonorrhoeae • unilateral scrotal swelling and/or tenderness, maximal over the head of the epididymis, occasionally bilateral • may have erythema and edema of the overlying skin • with/without discharge • redness, swelling and fever only in severe cases Sudden onset: if torsion of the testicle is a possibility, this is a surgical emergency Urethral swab for: • Gram stain, culture for N. gonorrhoeae , test for C. trachomatis Alternative for C. trachomatis : urine PCR Mid-stream urine for bacterial culture and sensitivity (to look for urinary tract pathogens) Due to N. gonorrhoeae/ C. trachomatis • cefixime 800 mg orally in a single dose PLUS doxycycline 100 mg bid for 10 days Due to enteric organism: • ofloxacin 300 mg orally bid for 10 days Treat all partners of case sexually transmitted within at least 60 days prior to the onset of symptoms with: • cefixime 400 mg orally in a single dose PLUS azithromycin 1 g orally in a single dose.

20. Epididymitis In Sheep epididymitis in Sheep. Author Dr seminis. In Ontario there have been very few isolations of B. ovis, but epididymitis is still a problem. In http://www.gov.on.ca/OMAFRA/english/livestock/sheep/facts/info_shpepid.htm

Our search engine interface requires a JavaScript enabled browser. If you cannot enable JavaScript in your browser, then you may use an alternate interface found at the following web address - http://www.search.gov.on.ca:8002/compass?view-template=simple1 Epididymitis in Sheep Author: Dr. S. John Martin - Veterinary Scientist, Sheep, Goat and Swine/OMAF Creation Date: 1 June 1999 Last Reviewed: 1 June 1999 There are not different strains of one bacteria causing this disease, but two different bacteria causing almost identical symptoms in rams. In western Canada the principle bacteria implicated are Brucella ovis and Actinobacillus seminis . In Ontario there have been very few isolations of B. ovis , but epididymitis is still a problem. In this province the bacteria thought to be the cause is Actinobacillus seminis . However, the result is the same, a chronic infection of the epididymis and testes with lowered fertility of the ram. There is no treatment for these conditions. Ram management is important. Young rams should be run separate to older rams, and wherever possible only used to breed first lamb ewes. In some countries vaccines are used to protect against

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