$Unique_ID{BRK02161} $Pretitle{} $Title{Epididymitis} $Subject{Epididymitis pain scrotum antibiotic tube testicle Sperm motility infection reproductive system swelling fever urination discharge gonococcus chlamydia antibiotic Analgesics sexually transmitted disease infection} $Volume{} $Log{ Anatomy of the Male Reproductive System*0006001.scf} Copyright (c) 1993 Tribune Media Services, Inc. Epididymitis ------------------------------------------------------------------------------ QUESTION: When an intense pain in my scrotum would not pass, I finally visited the doctor. He prescribed an antibiotic, said that all would clear up shortly, and it did, and also gave me the name of the disease. He called it "didi-mite," or something like that, but I was too embarrassed and in too much pain at the time to ask any questions. I suppose people like me keep people like you very busy, but can you please tell me what it was I had and why? Thank you. ------------------------------------------------------------------------------ ANSWER: I fully understand your predicament, and at a moment like that it would be pretty hard to catch the name of a disease as difficult to pronounce as "epididymitis". Actually, you came as close as most patients. The epididymis is tightly coiled tube located on the back upper border of the testicle. Sperm travels from the testicle to the urethra by way of the epididymis and then through the vas deferens. The epididymis is a collecting area, where the immature sperm spend up to ten days maturing and developing the power to move on their own motility before passing into the vas deferens where the greater majority are stored. Epididymitis is an infection of this portion of the reproductive system. The symptoms may unfold gradually, but develop into an intense pain in the scrotum, accompanied by swelling of the area and a fever, that demands medical attention. In some cases there is pain on urination or a discharge from the penis. A urine culture will help to identify the bacteria, or examining a stained smear of the secretions through a microscope. In most cases, the bacteria is found to be a gonococcus or chlamydia. Once the germ that is the source of the infection is found, the appropriate antibiotic can be prescribed and the results are often apparent in 48 hours as the tenderness resolves and the temperature drops down to normal. Analgesics, such as ibuprofen and aspirin, are useful to control the symptoms during the first days. Since epididymitis is considered to be a sexually transmitted disease in the majority of cases, it is important that your partner be checked as well, and receive antibiotic therapy if required. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.