Symptoms of epididymitis, its diagnosis

Epididymitis is a disease manifested ina kind of inflammatory process that takes place in the appendage of the male testicle, namely in the tube that connects the sex gland to the ducts that lead out the seed. Often, the disease occurs due to bacterial infection.

Symptoms of epididymitis manifest themselves in the form of sharppain 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.

With a chronic form of the disease duringpalpation of the epididymis reveals its densification, occasional increase in volume, its clear delimited position relative to the sexual gland, painful sensations. This is manifested in the final stage of acute epididymitis. 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 occur inform of enlarged lymph nodes in the inguinal region, secretions from the genital organ. In this case, the spermatic cord grows thicker, and the duct that leads out the spermatozoa increases in diameter.

In case of swelling and rednesswith one of the sides 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. An anamnesis is collected. It also includes information about the sexual life of the patient.

2. A laboratory study of urinalysis is performed. The presence of sexually transmitted diseases and infections present in the urethra are detected. 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. Produced ultrasound dopplerography and scans the affected testicle. 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 genitalglands in men, are transmitted through anal sex with same-sex contact. Even if the symptoms of epididymitis are manifested in one sexual partner, the examination should go both.