What is Epididymitis?
What is Epididymitis? Epididymitis is an inflammation of the epididymis (the sperm ducts) located behind the testes. This disease can affect men of all ages, but most often attack men aged 19 to 35 years. If the inflammation that occurs has spread to the testes, this condition is known as epididymo-orchitis.
Epididymitis is a rolled-up channel connecting between the testes and the vas deferens. While the vas deferens is a direct sperm channel to the exit in the penis when men ejaculate. Epididymis serves to store and carry sperm.
People who are mutually couples and have unprotected sexual intercourse are at risk of contracting sexually transmitted diseases (STDs). The bacteria that cause STDs will also cause epididymitis. Other factors that may increase the risk of epididymitis are:
- Prostate enlargement.
- Never have a prostate infection or a urinary tract infection.
- Have undergone medical procedures that affect the urinary tract.
- Uncircumcised man.
- The anatomical position of the urinary tract is not normal.
Symptoms of Epididymitis
Symptoms are something that is felt and told by the patient. Some symptoms that will be felt if someone suffering from epididymitis are:
- The scrotum will swell, feel warm, painful when in touch, or reddish.
- Pain in the testes, usually on one side. Testes can also be painful to the touch.
- Blood on the sperm fluid.
- Pain during urination.
- Frequently want to urinate and always feel unfinished.
- Bumps appear around the testicles caused by fluid accumulation.
The tip of the penis secretes abnormal fluid, usually associated with sexually transmitted diseases.
- Pain during ejaculation or intercourse.
- Discomfort or pain in the lower abdomen or around the pelvis.
- Enlarged lymph nodes in the groin.
- Fever can also occur, though quite rare.
If it does not improve for more than six weeks or recur, it is called chronic epididymitis. The symptoms of chronic epididymitis may appear gradually. Immediately consult a doctor if the scrotum feels pain, abnormal fluid out of the penis, or pain during urination.
Causes of Epididymitis
Epididymitis is mostly caused by bacterial infections. In most cases of epididymitis, infection begins in the urethra, prostate or bladder. Often, epididymitis-causing bacteria in children and the elderly as well as homosexuals are E.coli and similar bacteria. Generally, some causes of epididymitis are:
- Urinary tract infection. Conditions in which a bacterial infection occurs that invades part of the urinary tract system.
- Chemical Epididymitis, is a condition in which urine flows back to the epididymis because the body is too stretched or lifting heavy items.
- Amiodarone, a type of heart medication that can cause inflammation in the epididymis.
- Sexually transmitted diseases, such as gonorrhea and chlamydia, usually cause epididymitis in sexually active men.
- Other infections, especially in boys and men who are not sexually active. Whether from infection of the prostate gland or urinary tract infection.
- Injury to the crotch.
- Behḉet’s disease.
Diagnosis of Epididymitis
Diagnosis is a doctor’s step to identify a disease or condition that explains the symptoms and signs experienced by the patient. If a patient is suspected of having epididymitis, the doctor will perform a physical examination. Among others examined the enlargement of lymph nodes in the groin and enlargement of the testes in the infected area. In addition, the doctor will recommend several types of checks such as:
- Fluid sample. Small wipes will be inserted slightly on the tip of the penis to take a liquid sample from the urethra, to check for any bacteria that cause sexually transmitted diseases.
- Blood and urine tests. Samples from urine and blood will be investigated further in the laboratory.
- Rectal examination. To check if there is a problem with the prostate gland.
- Ultrasound. Ultrasound can provide a picture of the torsion (spinning) of the testicles. Ultrasound with Doppler staining can be used to check whether the blood flow in the testes is below or above normal.
Treatment and Complications of Epididymitis
Some handling steps that doctors usually run to treat epididymitis are:
- An antibiotic drug. If the cause of epididymitis is a bacterial infection, then the doctor will prescribe antibiotics. In addition to antibiotics, ibuprofen may be given to relieve inflammation.
- Pain relief and rest. In addition to antibiotics, your doctor may also prescribe pain medication. Patients are also advised to rest.
Try to lie in bed with the scrotum raised to help relieve the pain. Use scrotum support if necessary. Scrub compresses with cold compress.
- Surgery. If it continues to be an abscess, then the patient needs surgery to suck up the collected pus. Sometimes, the entire epididymis needs to be removed through a surgical procedure.
For those of you who are sexually active and sexually active, it is advisable to do it safely and hygienically to avoid epididymitis. In addition to epididymo-orchitis, some of the complications that can be suffered by untreated epididymitis patients are:
- The appearance of abscess (infection of purulent) on the scrotum.
- Disturbing male fertility.
- Tearing of the skin on the scrotum.
- The loss of testicular tissue due to lack of blood.