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Testicle Infection (Epididymitis) (cont.)

Outlook

If treated appropriately with antibiotics, epididymitis should be cured and the individual will have an excellent prognosis (outlook).

The pain should improve within 1-3 days; however, swelling may take several days to resolve.

However, complications are possible, including:

  • Sterility: If the epididymitis involves both sides and is untreated, sterility may result (rarely, sterility can still occur even with antibiotic treatment).
  • Scrotal abscess (an infection)
  • Co-infection of the testicle (epididymo-orchitis)
  • Sepsis (spread of infection into the bloodstream)
  • Fournier gangrene (a severe and life-threatening infection of the scrotal area that kills the cells)

The longer treatment is delayed, the more likely the above complications may develop and thus reduce the individual's outcome to only fair to poor, depending on the severity of the complications.

Medically reviewed by Michael Wolff, MD; American Board of Urology

REFERENCES:

Centers for Disease Control and Prevention. Updated recommended treatment regimens for gonococcal infections and associated conditions - United States, April 2007.
<http://www.cdc.gov/std/treatment/2006/updated-regimens.htm>

eMedicine.com. Epididymitis.
<http://emedicine.medscape.com/article/436154-overview >

MedicineNet.com . Sexually Transmitted Diseases in Men.
<http://www.medicinenet.com/sexually_transmitted_diseases_stds_in_men/article.htm>

MedicineNet.com. Testicular Pain.
<http://www.medicinenet.com/testicular_disorders/article.htm>

Previous contributing authors and edtiors: Author: Andrew K Chang, MD, Assistant Professor, Department of Emergency Medicine, Albert Einstein College of Medicine, Montefiore Medical Center. Editors: Patrick Taylor, MD, FAAEM, Medical Director, Department of Emergency Medicine, CHRISTUS St Frances Cabrini Hospital; Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine; James S Cohen, MD, Consulting Staff, James Cohen, PC.


Medically Reviewed by a Doctor on 5/2/2014

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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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