Epididymitis is a painful condition usually caused by infection or inflammation of the epididymis, a curved, tube-shaped structure connected to the testicle.
Epididymitis may be caused by a bacterial infection occurring along the urinary tract. In children, epididymitis can also develop due to inflammation from direct trauma, twisting of a portion of the epididymis (torsion), or backward flow (reflux) of urine into the epididymis. Symptoms The onset of epididymitis is typically gradual with testicle pain that increases in severity over time. The testicle may become swollen, tender to touch and/or red.
Other symptoms can include:
During the physical exam, redness, tenderness and sometimes a swollen lump may be found on the affected side of the scrotum. If epididymitis is suspected, the following tests may be completed to confirm the diagnosis:
In most cases, epididymitis will resolve on its own with time. Rest and ibuprofen can help decrease inflammation and pain. Supportive underwear can also help. Sometimes antibiotics are necessary if the epididymitis is caused by a bacterial infection. Your child’s pediatric urology provider will recommend the most appropriate treatment for your child.
Bathroom habits can contribute to epididymitis. Infrequent urination and/or straining with urination may play a role and we typically ask that an individual empty their bladder on a routine schedule, increases the amount of water they drink and monitors bowel movements for any signs of constipation.
* It is important to note that if your child is having sudden scrotal pain, they should be taken to the emergency room for an evaluation immediately.
