SURGICAL DISEASES, TRAUMATOLOGY, ORTHOPEDICS, UROLOGY : EPIDIDYMITIS (INFLAMMATION OF THE EPIDIDYMIS) (EPIDIDYMITIS) - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
Infection, penetrating into the epididymis through the ductus deferens or hematogenous route. Often epididymite are gonorrhoeae or TB, less nonspecific caused by Staphylococcus, Streptococcus and other bacteria. The result of the inflammatory process are formed scars, often prevents the passage of sperm. So after bilateral epididymitis occurs azoospermia.
Symptoms. Gonorrhoeae epididymite see sexually transmitted Disease, gonorrhea. Tuberculous epididymitis develops slowly, gradually, over weeks and months, goes further to the testis and leads to the formation of the fistula. Nonspecific epididymitis flow subacute. The appendage increases slowly. Patients complain of General malaise and weakness. Usually in the process when epididymitis is involved and the sperm-duct, and seminal cord.
Recognition is not difficult. Feeling able to install the increase in size and tenderness of the epididymis. Differential diagnosis between specific and nonspecific epididymitis is made on the basis of the above symptoms.
Rest, warmth in all forms, lead lotions. Inside the sulfidina 0.5, three times a day. Good results, especially when gonorrhea, gives penicillin (200 000 units per day). On the subsidence of the acute effects for resorption is assigned to infiltrate diathermy. In tuberculous epididymitis treatment only surgical removal of the epididymis. To prevent diseases of the second appendage - vasectomy on the other side.