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What are the clinical manifestations of epididymitis?

Date:2012-03-31 click:

What is epididymitis?

There are two testes in the scrotum, except testes, also two epididymal. As a matter of fact, epididymal and testes both locate at the bottom of spermatic cord.
 
Epididymitis is a disease with high incidence in young men. When a man is in a hypoimmunity condition, his body can possibly be invaded by some pathogens ( E. coli, staphylococcus aureus, streptococcus ), at this time, those pathogens go upward in spermaduct and when they insert epididymal, epididymymal face with an imminent danger. In addition, epididymitis is usually secondary to urethritis, prostatitis and seminal.
 
How is epididymitis caused?
Acute epididymitis is usually the infection that is expanded from prostate infection and seminal infection. Usually speaking, this prostatitis infection and seminal indeed have something to do with urinary tract infections. When the infected blood flows through epididymis, the risk of epididymitis is high.  
   
What are the clinical manifestations of epididymitis and how is it diagnosed? 
 
1. Clinical manifestations of acute epididymitis
 
Leukocyte are increasing when acute epididymitis occurs. Patients can feel a sense of falling pain in scrotum, which exacerbates when patients is walking or standing. Besides, when the inflamed area becomes larger, epididymal and testes are swelling. If boundary can not be touched, it is epididymo-orchitis.
 
2. Clinical manifestations of chronic epididymitis
 
Chronic epididymitis is often transformed from uncured acute epididymitis. Apparent symptoms of acute epididymitis are not found in most patients. Another situation is that chronic prostatitis or prostatitis damage can also give rise to chronic epididymitis.
 
What are the complications of epididymitis?
1. Chronic prostatitis. Chronic prostatitis symptoms: frequent urine, urinary urgency, discomfort in urine tract. Apart from that, increased white blood cells and decreased lecithin can be found in prostate fluid.
 
2. Seminal. Seminal symptoms: Hematospermia, accompanied by urinary frequency, urgency, urinary discomfort, perineal discomfort and other symptoms. Seminal is always coexist with prostatitis.
 
Diseases that can easily be confused with epididymitis.
1. Testicular cancer. Patients of testicular cancer can not feel pain. The bump can be distinguished from normal testes. Besides, prostate fluid and urinalysis are normal. If necessary, patients can have a pathological examination to diagnose.  
2. Spermatic cord torsion. Spermatic cord torsion is unique in incidence populations. Because it is much seen in children.
3. Epididymal tuberculosis. Tail of epididymis is the main diseased region in initial stage. Gradually, it spreads to the whole area. This disease develops slowly and without much pain. Plus, Vas deferens have beaded change and the urine culture is tested positive.   
4. Epidemic parotid epididymitis. There is no urinary tract symptoms in epidemic parotid epididymitis patients and no pyocyte or bacterial when urine is tested. 

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