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Epididymitis

Epididymitis ( ˌɛpɪˌdɪdəˈmaɪtɪs, ěp'ĭ-dĭd'ə-mī'tĭs, EP-ə-DID-ə-MEYE-tis) is a medical condition characterized by discomfort or pain in of the epididymis, a curved structure at the back of the testicle in which sperm matures and is stored. Epididymitis is usually characterized as either acute or chronic: if acute, the onset of testicular pain is often accompanied by inflammation, redness, and warmth in the scrotum; if chronic, pain may be the only symptom. In either form, testicular pain in one or both testes can vary from mild to severe, and one or both epididymides may noticeably swell and/ or harden. The pain is often cyclical and may last from less than an hour to several days.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with epididymitis, 91% report having pain in testicles, 73% report having swelling of scrotum, and 46% report having groin pain. The symptoms that are highly suggestive of epididymitis are pain in testicles, swelling of scrotum, groin pain, swollen abdomen, and mass in scrotum, although you may still have epididymitis without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with epididymitis often receive urinalysis, radiographic imaging procedure, ultrasonography, rectal examination, prostate specific antigen measurement, blood culture, insertion of catheter into urinary bladder and microscopic examination (bacterial smear; culture; toxicology) .

Common Medications

The most commonly prescribed drugs for patients with epididymitis include ciprofloxacin, doxycycline, ceftriaxone, diatrizoate, ofloxacin, levamisole, acetaminophen / dextromethorphan / doxylamine, ceftizoxime, abacavir / lamivudine / zidovudine, oxacillin, dicloxacillin, sulfamethoxazole (bactrim) and propafenone .

Ciprofloxacin
$7
(7 days)
Doxycycline
$11
(14 days)
Ceftriaxone
$172
(7 days)
Diatrizoate

Ofloxacin
$19
(14 days)
Levamisole

Ceftizoxime

Oxacillin
$798
(7 days)
Dicloxacillin
$25
(14 days)
Sulfamethoxazole (Bactrim)

Propafenone
$93
(28 days)

Who is at risk?

Groups of people at highest risk for epididymitis include age 30-44 years sex == male. On the other hand, sex == female almost never get epididymitis.

Age

< 1 years
0.1x
1-4 years
0.1x
5-14 years
1.1x
15-29 years
1.2x
30-44 years
1.7x
45-59 years
1.0x
60-74 years
0.8x
75+ years
0.2x

Sex

Male
2.4x
Female
0.0x

Race/Ethnicity

Black
0.8x
Hispanic
1.1x
White
1.0x
Other
0.9x
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