Epididymo-orchitis

Question 1

What is orchitis?

Answer 1

Inflammation of the testicle

Question 2

What is epididymo-orchitis?

Answer 2

Result of infection of epididymis and testicle on one side.

Question 3

What happens in the epididymis?

Answer 3

Sperm mature and are stored here

Question 4

What infections can cause epididymo-orchitis?

Answer 4

E. Coli
chlamydia trachomatis
Neisseria gonorrhoea
Mumps

Question 5

True or false: mumps tends to affect the testicle and epididymis

Answer 5

False - normally spares the epididymis. Causes parotid gland swelling and orchitis and can also cause pancreatitis.

Question 6

How does epididymo-orchitis typically present?

Answer 6

Testicular pain
Dragging/heavy sensation
Swelling
Tenderness on palpation
Urethral discharge
Fever

Question 7

What other medical emergency may present with unilateral acute onset testicular pain?

Answer 7

Testicular torsion

Question 8

What investigations can help establish a diagnosis for the cause of epididymo-orchitis?

Answer 8

MC+S
Chlamydia and gonorrhoea NAAT testing on first-pass urine