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First, during epididymitis, the epididymis is enlarged, blocked and with cyst, antibiotics medicine has difficulty in complete clearance of bacteria infection there. Second, epididymitis always flare up with prostatitis, an epididymitis treatment that has successfully eradicated bacteria infection could also get a relapse when the bacteria infection of prostatitis spread to the epididymis through vas deferens.
Epididymitis is a medical condition relating to the swelling or inflammation of the Epididymis, part of the male reproductive system.
Epididymitis must be differentiated from testicular torsion which is a serious scrotal emergency and occurs when the spermatic cord to a testicle twists, cutting off the blood supply to the testicles.
Treatment of Epididymitis may include anti-biotics if the condition arises due to infection or a sexually transmitted disease (STD), over the counter anti-inflammatory medicines and pain relievers, bed rest, and also applying ice bags on the affected area for short intervals or periods. Epididymitis is a medical condition that relates to the inflammation of the epididymis, a long coiled tube that lies above and behind each testicle and that stores, matures and carries the sperm from the testicle to the vas deferens.
Epididymitis is most common in men between the ages of 18-35 and especially among military men who are used to exercising for long extended periods without emptying their bladders. Proper diagnosis of Epididymitis, including a medical history of the patient, physical examination and laboratory tests such as analysis of the urine, sperm or discharges from the urethra and DNA tests are important in order to determine the underlying cause of the condition which generally can also be due to pus-generating bacteria related to infections in other body parts, or non-bacterial causes such as reflux of sterile urine, tulerculosis, brucellosis, and or after a prostate surgery. Common symptoms of Epididymitis include pain felt in the scrotum, swelling, tenderness or a sensation of heaviness in the testicle area.
There are certain factors that can increase the risk of the occurrence of Epididymitis and of developing further complications, such as being uncircumcised, history of structural problems in the urinary tract, sexual intercourse with more than one partner and without using a condom, the use of certain medicines that prevents abnormal heart rhythm, and regular use of urethral catheter. Epididymitis is most common in young men between the ages of 18-35, and is the major cause of sudden scrotal pain. Symptoms of Epididymitis may also include a low-grade fever, chills, tenderness and or heaviness felt in the testicle area.
Epididymitis symptoms mostly depend on the cause of the condition and can lead to further complications if not properly diagnosed and treated.
Treatment for Epididymitis usually includes prescribed medications such as anti-biotics to treat the infection especially if the condition is relating to a sexually transmitted disease, or pain relievers and anti-inflammatory medicines, as well as bed rest, and applying ice packs to the affect painful area.
Epididymitis is a condition relating to the inflammation or swelling of a part of the male reproductive system called the epididymis.
However, Epididymitis condition can also be caused by infection due to a sexually transmitted disease (STD) such as Chlymydia and or gonorrhea in sexually active men, and homosexuals. Treatment of Epididymitis that is caused by a sexually transmitted disease (STD) or other infection is usually by consuming antibiotic medicines.
Although in majority, cases of Epididymitis can be treated on an out-patient basis, however, if the pain is severe and persists despite undergoing normal treatment then further diagnosis is suggested to differentiate the condition from testicular torsion, testicular infarction, or abscess. Endocrinology Oxytocin: secreted by the posterior pituitary and the corpus luteum causes contractions of smooth muscle fibers.

Male Anatomy Testis – responsible for both sperm production and sex steroid production For sperm production, scrotum must be 4-6 degrees below body temp.
The prostate doctor injects epididymitis medicine in the groin area parallel to the vas deferens. Vas deferens connected to the epididymis are also enlarged, swollen, hardened and with tenderness. Even though the antibiotic medication can clear up the infection, the symptoms such as cyst, blockage and calcification of the epididymis cannot be cleared easily. The epididymitis treatment encompass an epididymitis treatment, a deferentitis treatment and a prostatitis treatment, to cure infection and blockage of the enlarged epididymis, swollen vas deferens and the enlarged prostate, respectively. Only with the combination of these two essential ingredients, the epididymitis treatment could solve the two big obstacles of treating epididymitis confronting many doctors and urologists. With a few weeks of specialized injection on the enlarged epididymis, enlarged prostate, and swollen vas deferens, these genital organs have a complete clearance of bacteria infection and blockage. Epididymis is a long and narrow, tightly-coiled tube attached to the upper part of each testicle and located at the posterior aspect of the testis, that allows for the sperms storage, maturation and transport through the efferent ducts to the vas deferens. Diagnosis of Epididymitis is established on the basis of history of the patient and medical physical findings, and laboratory tests including urinalysis and urine culture, examination of sperm or discharges from the urethra and prostate gland and blood tests to measure quantity of white cells.
Surgical procedures such as an Epididymectomy may be performed in order to remove the inflamed section of the Epididymitis. Inflammation of this structure, usually due to a bacterial infection or viral infection of the urinary tract that runs through the male reproductive system is called Epididymitis. Also, this condition is very common in sexually active men and homosexuals since Epididymitis can also be caused due to a sexually transmitted disease (STD) such as chlamydia, gonorrhea, or a non-gonococcal urethritis (Non-Specific Urethritis – (NSU) that is urethral infection usually sexually transmitted but cannot be identified). A color Doppler ultrasound is a preferred test in order to differentiate Epididymitis from testicular torsion; a more serious condition that requires immediate hospital admission.
Symptoms can vary from mild to acute pain that lasts for more than 6 weeks that can be chronic. Symptoms of Epididymitis may range from mild to acute (lasting for more than 6 weeks) or rarely chronic and is generally caused by the spread of bacterial infection or by a sexually transmitted disease (STD) such as Chlamydia and or gonorrhea, from the urethra or the bladder. The affected testicles may become red, swollen, and very sensitive to pressure and may feel warm and heavy. Symptoms of severe or chronic pain can also include a lump on the testicle, painful intercourse or ejaculation, enlarge nymph nodes in the groin (inguinal nodes), testicle pain that gets worse during bowel movement, and blood in the semen. Epididymis is a curved structure within the scrotum attached at the back and top of each testicle. Strenuous activities should be avoided during the condition, as well as it is highly recommended that the patient refrains from having sexual intercourse with another person if the condition is caused by a sexually transmitted disease (STD).

Pampiniform Plexus Counter-current heat exchange causes a cooling of arterial blood supply Single artery surrounded by a network of veins (Increased surface area) 2.
Epididymitis treatment that are adopted by most urologist is antibiotics medication which has poor efficacy on most epididymitis cases, particularly chronic epididymitis. If the symptoms occurs on a sudden and are of acute nature that requires immediate medical admission then an utrasonography may be carried out in order to properly diagnose the cause of the acute scrotal pain. Or a procedure called a Bi-lateral vasectomy that helps prevent fluid and sperm from passing through the epididymis. These diseases can be passed from one person to another during sexual contact and if left untreated can lead to complications, chronic Epididymitis or put a person at greater risk of contracting HIV.
Treatment generally includes taking anti-biotics to cure the infection, pain relievers, applying ice packs to the affected area to reduce the inflammation and or surgery. Initially, there might be pain or discomfort felt in the lower abdomen and pelvis, painful and frequent discharge of urine from the urethra (opening at the end of the penis) and urinary urgency, and pain localized to the scrutom as the inflammation descends to the lower segment of the epididymis.
Diagnosis that includes physical examination and laboratory tests such as complete blood count, Doppler ultrasound, testicular scan, urinalysis and urine culture and tests for chlamydia and gonorrhea are important to distinguish this condition from testicular torsion, which is a serious emergency and is treated with surgery at the earliest. Its main function is to store, mature and transport spermatozoa (sperm) between the testis and the vas deferens.
In older men the cause of epididymitis is usually due to infection caused by urine influx or after a prostate surgery complication. Over the counter anti-inflammatory medicines and pain relievers are indicated as initial treatment, furthermore, bed rest, applying ice packs to the affected area, and wearing athletic supports if the pain is due to injury to the scrotum is the cause of the condition. Pain that lasts for more than 6 weeks may be considered chronic and treatment will be advised based upon the particular cause of the symptoms. Older patients may suffer from urine retention or reflux of sterile urine without infection from bladder outlet obstruction due to inflammation, and injury or infection of the scrutom that causes irritation from urine that has accumulated in the vas deferens. If the pain is severe then a local anesthetic may be injected directly into the spermatic cord. Other symptoms can include fever, chills, tenderness or a heavy sensation in the testicle area.

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