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May 23, 2013
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Testicle Infection (Epididymitis) (cont.)

Medical Author:
Charles Patrick Davis, MD, PhD

Dr. Charles "Pat" Davis, MD, PhD, is a board certified Emergency Medicine doctor who currently practices as a consultant and staff member for hospitals. He has a PhD in Microbiology (UT at Austin), and the MD (Univ. Texas Medical Branch, Galveston). He is a Clinical Professor (retired) in the Division of Emergency Medicine, UT Health Science Center at San Antonio, and has been the Chief of Emergency Medicine at UT Medical Branch and at UTHSCSA with over 250 publications.

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Medical Editor:
Mary Nettleman, MD, MS, MACP
Mary Nettleman, MD, MS, MACP

Mary D. Nettleman, MD, MS, MACP is the Chair of the Department of Medicine at Michigan State University. She is a graduate of Vanderbilt Medical School, and completed her residency in Internal Medicine and a fellowship in Infectious Diseases at Indiana University.

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Epididymitis Symptoms

Symptoms of epididymitis start gradually and often peak within 24 hours. Pain usually begins in the scrotum or groin.

  • Abdominal or flank pain: At first, inflammation begins in the vas deferens (which is the duct that carries sperm to the urethra) and then descends to the epididymis. This descent explains why symptoms can start initially in the flank (lower back) and groin. One side of the groin or testicle may be much more painful than the other.
  • Scrotal pain and swelling: The epididymis may swell to twice normal size within 3-4 hours (the degree of swelling is variable).
  • Pain on urination, occasionally blood in the urine.
  • Discharge from the urethra (at the end of the penis; especially in men younger than 39 years of age)

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Testicle Infection (Epididymitis) - Symptoms

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Testicle Infection (Epididymitis) - Treatments

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Read What Your Physician is Reading on Medscape

Testicular Trauma »

Institute conservative treatment for patients with minor trauma in which the testes are unequivocally spared and the scrotum has not been violated.

Read More on Medscape Reference »


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