Can epididymitis cause abscess?

Can epididymitis cause abscess?

If epididymitis is not treated, complications can develop, including an abscess (pus-filled sac) in the scrotum. The scrotum’s skin may open because of swelling and infection. In rare cases, epididymitis can cause fertility problems in men. Early diagnosis and treatment can help prevent these complications.

What causes epididymitis and orchitis?

Males of any age can get epididymitis. Epididymitis is most often caused by a bacterial infection, including sexually transmitted infections (STIs), such as gonorrhea or chlamydia. Sometimes, a testicle also becomes inflamed — a condition called epididymo-orchitis.

What is epididymitis usually caused by?

Epididymitis is usually caused by a sexually transmitted infection (STI), such as chlamydia or gonorrhoea. This is more likely in younger men under 35 years old. If testing shows that your epididymitis is caused by a STI, it may be recommended that your current or recent sexual partners are also tested for STIs.

Is epididymo-orchitis an emergency?

Acute epididymo-orchitis (the inflammation of one or both testes and epididymis) is a common urological diagnosis encountered by urologists and by emergency and primary care physicians. It should be differentiated from testicular torsion – a true urological emergency.

How long does epididymo-orchitis last?

Acute Epididymitis and Acute Epididymo-orchitis Discomfort can last for weeks to months after the full course of antibiotics is taken in some cases. It can take months for the swelling to ease. Rest with the scrotum raised for a day or two helps speed healing.

How do you know if you have orchitis?

Orchitis signs and symptoms usually develop suddenly and can include: Swelling in one or both testicles. Pain ranging from mild to severe. Fever.

Does epididymo-orchitis need surgery?

Acute epididymo-orchitis (AEO) is an acute inflammatory disease of the epididymis and ipsilateral testis. Treatment should be started immediately after diagnosis and includes antibiotics, analgesics, and, if necessary, surgery.

What is epididymo-orchitis and what causes it?

Epididymo-orchitis is an inflammation of the epididymis and/or testicle (testis). It is usually due to infection, most commonly from a urine infection or a sexually transmitted infection. A course of antibiotic medicine will usually clear the infection. Full recovery is usual. Complications are uncommon. What is epididymo-orchitis?

Does epididymo-orchitis complicated by abscess result in testicular ischemia?

We report a case of epididymo-orchitis complicated by abscess resulting in testicular ischemia, not detected on ultrasonography. A high clinical suspicion of testicular ischemia should be maintained in any presentation of testicular pain and swelling, as recognition could lead to early salvage interventions.

What does orchitis mean in medical terms?

Orchitis means inflammation of a testicle. As the epididymis and testis lie next to each other, it is often difficult to tell if the epididymis, the testis, or both are inflamed. Therefore, the term epididymo-orchitis is often used.

Can ultrasound detect epididymo-orchitis with abscess?

Epididymo-orchitis complicated by abscess formation is associated with significant morbidity, predominantly testicular infarction [3,4]. As demonstrated in our case, testicular abscess may not be detected on routine Doppler ultrasound. Alternatively, contrast-enhanced ultrasound (CEUS) can aid in identifying focal pathology.