Signs and symptoms of epididymitis might include:
- A swollen, red or warm scrotum
- Testicle pain and tenderness, usually on one side
- Painful urination or an urgent or frequent need to urinate
- Discharge from the penis
- Painful intercourse or ejaculation
- A lump on the testicle
- Enlarged lymph nodes in the groin
- Pain or discomfort in the lower abdomen or pelvic area
- Blood in the semen
- Less commonly, fever
Epididymitis that lasts longer than six weeks or that recurs is considered chronic. Symptoms of chronic epididymitis might come on gradually. Sometimes the cause of chronic epididymitis is not identified.
When to see a doctor
Never ignore scrotal pain or swelling. Scrotal pain can be caused by a number of conditions, and some of them require immediate treatment to avoid permanent damage.
If scrotal pain is severe, seek emergency treatment. Also see a doctor if you have discharge from your penis or pain when you urinate.
May 07, 2015
- Ferri FF. Ferri's Clinical Advisor 2015: 5 Books in 1. Philadelphia, Pa.: Mosby Elsevier; 2014. https://www.clinicalkey.com. Accessed Aug. 4, 2014.
- AskMayoExpert. What are the causes or types of scrotal masses? Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2013.
- Wein AJ, et al. Campbell-Walsh Urology. 10th ed. Philadelphia, Pa.: Saunders Elsevier; 2012. http://www.clinicalkey.com. Accessed Aug. 4, 2014.
- Eyre RC, et al. Evaluation of the acute scrotum in adults. http://www.uptodate.com/home. Accessed Aug. 4, 2014.
- Brenner JS. Causes of scrotal pain in children and adolescents. http://www.uptodate.com/home. Accessed Aug. 4, 2014.
- Schaeffer AJ. Complications of urinary bladder catheters and preventive strategies. http://www.uptodate.com/home. Accessed Aug. 4, 2014.
- Hedger MP. Immunophysiology and pathology of inflammation in the testis and epididymis. Journal of Andrology. 2011;32:625.
- AskMayoExpert. What evaluation and treatment are indicated for orchitis as a cause of pediatric testicular or scrotal pain? Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2014.
- Pilatz A. Acute epididymitis in ultrasound: Results of a prospective study with baseline and follow-up investigations in 134 patients. European Journal of Radiology. 2013;82:e762.
- Boettcher M, et al. Differentiation of epididymitis and appendix testis torsion by clinical and ultrasound signs in children. Urology. 2013;82:899.
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