Symptoms of epididymitis, its diagnosis

Epididymitis is a disease manifested in the form of an inflammatory process that occurs in the epididymis of the male testicle, namely in a tube that connects the sexual gland to the ducts that lead out the seed. Often, the disease occurs due to bacterial infection.

Symptoms of epididymitis manifest in the form of sharp pain in the testicle, increased body temperature (up to 40 ºС), hyperemia, swelling of the scrotum. When the disease is formed effusion in the affected area or simultaneous damage to the reproductive gland and its appendage. It is for this reason that the contouring in the cavity of the scrotum can not be felt. Pain sensations with epididymitis can spread in the groin, and in the perineum, occasionally even in the lower back and the sacrum, while intensifying at the time of movement.

When the chronic form of the disease during palpation of the epididymis is found, its densification, occasional increase in volume, its clear delineated position relative to the sexual gland, painful sensations. This is how the acute epididymitis manifests itself in the final stage. Symptoms in this case are absent, there is only a feeling of discomfort in the scrotum during periods of exacerbation of the disease. During this period, the ability of spermatozoa to fertilize decreases, and in the aftermath may come infertility.

Symptoms of epididymitis can also manifest as an increase in lymph nodes in the inguinal region, secretions from the genital organ. At the same time, the spermatic cord grows thicker, and the duct that removes spermatozoa increases in diameter.

In the event of a swelling and redness from one side of the scrotum, it is necessary to consult a doctor, since such manifestations can cause epididymitis. Diagnosis of the disease occurs in the following way:

1. Anamnesis is collected. It also includes information about the sexual life of the patient.

2. A laboratory study of urinalysis is performed. At the same time, the presence of sexually transmitted diseases and infections present in the urethra are identified. Also, the sensitivity of microorganisms and the inflammation of the bladder are determined by the analysis of urine and culture.

3. Prostate examination is performed. For this, a smear from the urethra is taken to detect the presence of bacteria in it.

4. A blood test (general) is performed. In this case, the presence of an infectious infection can indicate a high level of leukocytes.

5. Ultrasound dopplerography is performed and the affected testis is scanned. These methods help to distinguish the symptoms of epididymitis from signs of other diseases, similar in manifestation (hernia, dropsy, cysts).

6. Testing for the detection of gonorrhea and chlamydia.

Use all these techniques in combination is necessary to prevent the development of complications in the case of an incorrect diagnosis.

Often, infections that affect the appendages of the sexual glands in a man are transmitted through anal sex with same-sex contact. Even if the symptoms of epididymitis manifest in one sexual partner, the examination should go both.