Overview

Epididymitis is inflammation of the epididymis, often causing testicular pain and swelling. In younger men, STIs such as chlamydia and gonorrhea may be involved.

Causes and transmission

  • Bacterial infection ascending from urethra, sometimes STI-related.
  • Urinary pathogens may also be involved.

How it is assessed

  • Clinical examination and urine testing.
  • STI testing may be indicated.

Management considerations

  • Antibiotic treatment depends on likely cause.
  • Pain relief and follow-up may be needed.

Prevention

  • STI testing and treatment reduce risk.
  • Avoid untreated urethritis.

Key points

  • Causes testicular pain and swelling
  • STI may be a cause in younger men
  • Requires evaluation
  • Treatment depends on cause

When to seek care

  • Unilateral testicular pain
  • Swelling or tenderness
  • Discharge or urinary symptoms