Everything you need to know about epididymitis

Epididymitis Inflammation of the epididymis, the tubes behind the testicles. Epididymitis is common in men 19 to 35 years of age. Epididymitis is caused by an infection, usually caused by a bacterial or sexually transmitted infection. This condition is usually cured with antibiotics. The most common cause of epididymitis is sexually transmitted diseases, especially gonorrhea and chlamydia.

Epididymitis is an inflammation of the epididymis. The epididymis is a rectangular structure that attaches to the top of each testicle.

Symptoms are common

Large, stiff and painful testicles.


Rapid onset of pain, heat, and swelling in the back of one testicle (sometimes both testicles)

Be sensitive to the contents of the testicles

Sometimes the testicles are sensitive to the touch

Often acute inflammation of the urethra that causes burning when urinating.


It is usually a complication of a bacterial infection in another part of the body, such as gonorrhea; Prostate infection; Or bladder or kidney infection

Epididymitis may be a complication of an infection in the scrotum or due to damage to the scrotum.

Risk-increasing factors

Recent illnesses, especially acute or chronic inflammation of the prostate, urethritis, or urinary tract infection

Narrowing of the urethra

Being a urinary catheter for a long time


Use of condoms and no restraint

Urine catheterization should be avoided as much as possible.

Expected consequences

It usually gets better with treatment. The pain usually resolves within 1-3 days, but a full recovery may take weeks or months.

Possible side effects

Sometimes constipation, because defecation makes the pain worse.

Sterility or narrowing and obstruction of the urethra. If epididymitis has occurred on both sides. These cases require surgery.


General principles

Laboratory tests, such as urine tests and culture of prostate secretions, to identify responsible microbes

The goal of treatment is to fight infection and reduce pain and swelling. Treatment can usually be done at home.

Try to keep the scrotum under control to reduce pain. To do this, you can use a soft towel and place it between the legs and under the inflamed area.

– To help reduce pain and swelling, place an ice pack on the inflamed area. Do not use heat.

– Before starting normal activities, use a protective and retaining device that is used in some sports or relatively tight underwear.

Rarely, exploratory surgery is performed to make a definitive diagnosis and save the testicle.

Surgery may be needed for severe cases that do not respond to antibiotics.


Antibiotics to fight infection

Ibuprofen است or acetaminophen ‌ for mild pain ‌. In cases of moderate to severe pain, stronger analgesics may be prescribed.

Stool softeners


Rest in bed until your fever, pain, and swelling have not improved. Avoid sexual intercourse; Wait at least a month after all symptoms have subsided.


Avoid alcohol, tea, coffee, or fizzy drinks. These substances irritate and irritate the urinary tract.

To prevent constipation, eat natural laxatives, such as plums, fresh fruit, whole grains, and nuts.

In this case, see your doctor

If you or a family member has symptoms of epididymitis.

– If the pain is not relieved by the recommended actions.

– If you have a fever

– If you have constipation

– If symptoms do not improve within 4 days of starting treatment.

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