Epididymitis: a cause of scrotal pain


Never ignore scrotal pain or swelling, which can be caused by a number of conditions. Some of them require immediate and urgent treatment to avoid permanent damage

The Epididymitis is an inflammation of the coiled tube (epididymis) at the back of the testicle that stores and carries sperm from the testicle to the seminal vesicle. Epididymitis is most often caused by a bacterial infection, including sexually transmitted infections (STIs), such as gonorrhea or chlamydia.


Signs and symptoms of epididymitis might include:

- A swollen, red or warm scrotum

- Testicle pain and tenderness, usually on one side, that usually comes on gradually

- Painful urination or an urgent or frequent need to urinate

- Discharge from the penis

- Unspecified pain or discomfort in the lower abdomen or pelvic area

- Blood in the semen

- the fever is uncommon


Causes of epididymitis include:

- STIs. Gonorrhea and chlamydia are the most common causes of epididymitis in young,

sexually active men.

- Other infections. Bacteria from a urinary tract or prostate infection might spread from the

infected site to the

epididymis. Also, viral infections, such as the mumps virus, can result in epididymitis.

- Urine in the epididymis (chemical epididymitis). This condition occurs when urine flows

backward into the

epididymis, possibly because of heavy lifting or straining.

- Trauma. A groin injury can cause epididymitis.

- Tuberculosis. Rarely, epididymitis can be caused by tuberculosis infection.

Risk factors

Certain sexual behaviors that can lead to STIs put you at risk of sexually transmitted epididymitis, including having:

- Sex with a partner who has an STI

- Sex without a condom

- A history of STIs

Risk factors for nonsexually transmitted epididymitis include:

- History of prostate or urinary tract infections

- History of medical procedures that affect the urinary tract, such as insertion of a urinary

catheter or scope into the penis

- An uncircumcised penis or an anatomical abnormality of the urinary tract

- Prostate enlargement, which increases the risk of bladder infections and epididymitis


Complications of epididymitis include:

- Puss-filled infection (abscess) in the scrotum
- Epididymo-orchitis, if the condition spreads from your epididymis to your testicle
- Rarely, reduced fertility


To help protect against STIs that can cause epididymitis practice safer sex.

If you have recurrent urninary tract infections or other risk factors for epididymitis, your doctor might discuss with you other ways of preventing a recurrence.

Send me a message if you have any question or make an appointment (toll-free 800467 or call center 04 454 5000)

Al Garhoud Private Hospital, Al Garhoud Area, behind the Millenium Airport Hotel, Dubai