Epididymitis

Epididymitis is an inflammation of the epididymis, the spiral-like tube at the back of the testicle that stores and carries sperm. It typically occurs in children due to bacterial infection, bowel and bladder dysfunction, or trauma.

Symptoms

• Swelling and pain in the scrotum.
• Redness and warmth of the scrotal skin.
• Fever and chills.
• Painful urination (dysuria).
• Frequent urge to urinate.

Diagnosis

Diagnosing epididymitis begins with a medical history and physical examination by your doctor. A urinalysis and urine culture may be ordered to check for infection, and scrotal ultrasounds can also confirm the condition.

Treatment

Treatment of epididymitis depends on the source, though most treatments are conservative.

Conservative Management

Antibiotics for any underlying bacterial infection. Supportive care for symptoms includes rest, a cool cloth placed on the scrotum, fever, pain relievers (acetaminophen, ibuprofen), and anti-inflammatories (ibuprofen, naproxen).

Surgical Intervention

If an abscess forms, surgery may be required to drain and wash out the abscess.

Follow-Up

Your child should follow up with their doctor to monitor symptoms and recovery and to prevent complications.

Resource:

1. Jung Min Joo, Seung Hoon Yang, Tae Wook Kang, Jae Hung Jung, Sung Jin Kim, Kwang Jin Kim. Acute Epididymitis in Children: the Role of the Urine Test. Korean Journal of Urology. 2013;54(2):135-135. doi:https://doi.org/10.4111/kju.2013.54.2.135