I feel little pain and discomfort in the scrotal area when I do not wear underwear. Is this epididymitis?

Hi,

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Epididymoorchitis is a painful condition and not really mild pain. It is associated with inflammation and swelling to variable size and might be associated with hydrocele collection of water around the testis. Other related condition with mild pain is varicocele which is dilated veins around your testis but varicocele usually do not have white cells in urine. The problem can be combined as well. For diagnosis history and examination are really important. Did this pain started suddenly or gradually? Was it severe then reduced to mild? Did this problem happened before, do you have any urinary complaints or difficulties passing urine? Did you have a urine culture done? Are you sexually active? Any blood in urine or ejaculation? On further investigations, you will need ultrasound scrotum it can diagnose epididymoorchitis or varicocele and hydrocele with good accuracy. In addition, send me the urine report if you have otherwise you need urine analysis and culture. If you have urethral discharge or you are sexually active then I need to do more tests for that.

Please get back to me with answers and ultrasound then I can advise for further investigations and management plans.

Hello,

Welcome back to icliniq.com.

If there is discharge from urethra you need to do a swab for culture and gonococcal, chlamydia. If you are sexually active with unprotected intercourse you need to add blood tests of Hepatitis B, C, syphilis, and HIV. Investigations for sexually transmitted infections need to be done for both partners. Please get back with results for me to decide on the treatment.