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