Epididymo-orchitis

Inflammation of the epididymis that is the coiled tube on top of the testes is called epididymo-orchitis. The symptoms include swelling, pain, and tenderness in the scrotum, fluid around the testes, blood in semen, painful urination, and fever. Some of the causes are sexually transmitted infections, bacterial infections, trauma, and tuberculosis.

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I have pain and discomfort in the pelvic area, which aggravates while sitting. Kindly help.

Query: Hello doctor, I am a 48 year old male. My height is 160 cm, and weight is 84 kg. I have a pain and discomfort in the pelvic area which gets aggravated on sitting, lower back pain, irritation on peeing, burning sensation in the pelvic region which radiates at times to the leg. I have seen a urologist...  Read Full »


Dr. Ajit Kumar Varma

Answer: Hello, Welcome to icliniq.com. Your history suggests that you have a chronic mild to moderate inflammation of the pelvic organs, most probably the urinary bladder. The possibility of a chronic epididymo-orchitis also has to be ruled out. Please do get the following investigations: CBC (complete bloo...  Read Full »

Should I continue taking antibiotics for the recurring pain in the testicle?

Query: Hello doctor, I am a 54 year old man, 5 feet and 8 inches, weighing 146 pounds. About six weeks ago, I started having intermittent pains and discomfort in my right testicle. Sometimes it was a dull ache, sometimes a sharper, stabbing pain. It seemed to radiate from a spermatocele cyst, which I have ...  Read Full »


Dr. Praveen Pushkar

Answer: Hello, Welcome to icliniq.com. Epididymitis or epididymo orchitis takes a long time to cure completely. Often, the antibiotic course has to be prolonged for up to three months. You would be lucky if it is cured in 14 days. If the pain is still there, antibiotic has to be continued along with the an...  Read Full »

How does inguinal hernia affect the ejaculation volume?

Query: Hello doctor, While having sex with my wife six months ago, I had a severe pain in my stomach, which seemed to have originated from my testicles. The pain has never happened again. I live a pretty much normal day to day life. Since then, I have noticed a decrease in semen volume considerably. Now, ...  Read Full »


Dr. Aastha Midha Likhyani

Answer: Hi, Welcome to icliniq.com. This could be epididymo-orchitis or simply orchitis. I suggest getting an ultrasound of the abdomen and scrotum. Follow-up with the reports. Revert with more information to a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon  Read Full »

Will surgery help to treat epididymo-orchitis?

Query: Hello doctor,I am a 32 year old male. Is surgery mandatory for epididymo-orchitis, with impression hydrocele and internal septations?  Read Full »


Dr. Raja Ramesh

Answer: Hi, Welcome to icliniq.com. In cases of epididymo-orchitis with associated hydrocele, chances that it is a pyocele (pus-filled collection) is higher. The presence of internal septations is more suggestive of pus rather than simple hydrocele. If symptoms are severe and are not responding to antibiot...  Read Full »

I have had a swelling recurring on the right testicle for four years. Why?

Query: Hello doctor, I am a 16 year old, I have a reoccurring swollen right testicle since I was about 12 years old. Whenever my right testicle swells up, I feel a tension in my lower abdomen, and it becomes difficult to perform any physical activities. Whenever my testicle is not swollen, it feels as if ...  Read Full »


Dr. Raja Ramesh

Answer: Hi, Welcome to icliniq.com. From your history, the enlarged testicle could be due to only three possibilities which are.  Congenital hydrocele Epididymo-orchitis. Varicocele.  Recurrent nature and spontaneous disappearance are very classical of congenital hydrocele. When you visited hospital last...  Read Full »

I had an attack of orchitis in my right testis. Please say whether I am fertile.

Query: Hi doctor,I had an attack of orchitis in my right testis. I have undergone a scan due to pain. It showed right epididymo-orchitis, and my sperm count is 59 million and 60% actively motile. Please tell me whether I am fertile enough or not. My affected testis size is small, and I am mentally getting...  Read Full »


Dr. Raja Ramesh

Answer: Hi, Welcome to icliniq.com. From the photos and history (attachment removed to protect patient identity), you are suffering from right epididymo-orchitis. Semen analysis is just below normal limits for total counts, and the motility appears normal. Other parameters are within normal limits. There is...  Read Full »

Does repeated painful swelling of testicles indicate epididymo-orchitis?

Query: Hi doctor, My left testicle is slightly swollen. For four days, I am feeling slight pain. I asked the general doctor, he gave me Trypsin plus Chymotrypsin tablet twice a day, Diclofenac 50 mg tablet twice a day, and Pantoprazole 40 mg twice a day before meal. I am using scrotal support to reduce th...  Read Full »


Dr. Gajanan Bhat

Answer: Hi, Welcome to icliniq.com. It appears recurrent epididymo-orchitis. Please get a urine culture sensitivity done and get back to me. Meanwhile, I suggest you start tablet Levoflox (Levofloxacin) 750 mg once in night after food for five days. You can continue the rest of the medications till your...  Read Full »

Why do I have pain in my groin and abdomen while playing football?

Query: Hi doctor, I have been experiencing acute pain in my groin and lower abdomen while playing football. This pain started around four months back, as a result, I had to stop playing. Thus the pain was not there since last two weeks and it started today after I played football again. The pain does not g...  Read Full »


Dr. Jeremy David O'kennedy

Answer: Hi, Welcome to icliniq.com. Sorry to hear about your sports-induced groin pain. The most common cause of pain in the groin in males of your age and habitus is muscle, ligament or tendon strain resulting from the particular activity. This is not a serious problem and can usually be effectively treate...  Read Full »

What causes mild pain in the left groin area and testicle?

Query: Hi doctor, I am a 20-year-old male. I started to have mild pain in the left groin area last night. It got increased while moving. I also started to have mild pain in the left testicle. But it was not continuous. It happened sharply while changing body postures or during deep breathing. I do not hav...  Read Full »


Dr. Samer S J Altawil

Answer: Hi,Welcome to icliniq.com.Left groin pain radiating to the left testicle can occur due to left ureteric stone or left epididymo-orchitis or left small inguinal hernia. Left ureteric stone often occurs with groin pain. Sometimes, if the stone lies in the left lower ureter, then the pain occurs in the...  Read Full »

Why has my right testicle swollen to the size of a tennis ball?

Query: Hi doctor, I am a 55-year-old male with a weight of 185 kilograms and a height of six feet. Last night, my right testicle got swollen to a size of a tennis ball. I have soreness while touching. What to do?   Read Full »


Dr. Samer S J Altawil

Answer: Hi, Welcome to icliniq.com. Painful swelling in the scrotum is caused due to epididymal-orchitis. There is inflammation of the testis and epididymis. It causes pain and swelling. It is caused due to sexually transmitted infections or urinary obstructions like enlargement of the prostate or str...  Read Full »

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