Epididymo-orchitis

Epididymo-orchitis

Bacterial or viral inflammation is occasionally found on exploration for suspected torsion. Epididymitis is seen before 6 months and is caused by infected urine travelling up the vas. Chlamydia trachomatis, Neisseria gonorrhoea Epididymo-orchitis ( and Escherichia coli ) is seen after puberty in sexually active boys presenting with acute testicular pain, dysuria, frequency , urethral discharge and fever. In addition, there may be scrotal erythema and oedema with a normal cremasteric reflex. Pain may subside on elevation of the testis (Prehn’s sign). Manage ment includes rest, analgesia, antibiotics and re-evaluation if there is no improvement.

Figure 17.7 Two torted and infarcted hydatids, one arising from the epididymis and one from the testis.

Epididymo-orchitis

Bacterial or viral inflammation is occasionally found on exploration for suspected torsion. Epididymitis is seen before 6 months and is caused by infected urine travelling up the vas. Chlamydia trachomatis, Neisseria gonorrhoea Epididymo-orchitis ( and Escherichia coli ) is seen after puberty in sexually active boys presenting with acute testicular pain, dysuria, frequency , urethral discharge and fever. In addition, there may be scrotal erythema and oedema with a normal cremasteric reflex. Pain may subside on elevation of the testis (Prehn’s sign). Manage ment includes rest, analgesia, antibiotics and re-evaluation if there is no improvement.

Figure 17.7 Two torted and infarcted hydatids, one arising from the epididymis and one from the testis.

Epididymo-orchitis

Bacterial or viral inflammation is occasionally found on exploration for suspected torsion. Epididymitis is seen before 6 months and is caused by infected urine travelling up the vas. Chlamydia trachomatis, Neisseria gonorrhoea Epididymo-orchitis ( and Escherichia coli ) is seen after puberty in sexually active boys presenting with acute testicular pain, dysuria, frequency , urethral discharge and fever. In addition, there may be scrotal erythema and oedema with a normal cremasteric reflex. Pain may subside on elevation of the testis (Prehn’s sign). Manage ment includes rest, analgesia, antibiotics and re-evaluation if there is no improvement.

Figure 17.7 Two torted and infarcted hydatids, one arising from the epididymis and one from the testis.