Epididymitis - inflammation of the epididymis. It is characterized by sudden onset, body temperature rise to 39-40 degrees. Appears pain and swelling in the scrotum by the defeat, increased epididymis several times, redness of the skin of the scrotum men impotency. Often combined with inflammation of the testicle (orchiepididymitis). Can develop bilateral disease of the appendages, a chronic form of epididymitis, vas obstruction flow, infertility. As a rule, in respect of epididymitis urologists conduct outpatient treatment, hospitalization is necessary only in case of complications. In acute epididymitis requires bed rest, anti-bacterial and local treatment; abscess is an indication for surgical incision and drainage of an abscess.
Epididymitis - an inflammatory disease of the epididymis. As a rule, epididymitis is a complication of chronic inflammatory diseases of the genitourinary system (vesiculitis, prostatitis, urethritis). In some cases, epididymitis occurs when common infectious diseases (tonsillitis, pneumonia, influenza, and others.). The likelihood of epididymitis increases in injuries of the pelvis, perineum and scrotum, as well as the presence of other factors contributing to the stagnation of blood in the pelvic area. Epididymitis can occur acutely or chronically, although often there is an acute inflammatory process in the epididymis.
Recent research in the field of Urology showed that epididymitis sometimes develops after sterilization (removal or ligation of the vas deferens). This is due to the accumulation of sperm in the epididymis which come from the testicles and not have time to dissolve at the required rate.
For acute epididymitis is characterized by hyperthermia to 39-40 ° C, sharp pain in the testicle, aggravated by movement, swelling and redness of the scrotum by the defeat. Pain in epididymitis may radiate to the perineum, groin, and sometimes - in the lower back and sacrum. In conjunction with epididymitis and orchitis periorhoepididimitom (effusion in the testis) scrotal organs cease contoured.
Without treatment, acute epididymitis effects subside after 2-5 days. In the area of the body or tail of the epididymis epididymitis after suffering a patchy infiltrate formed a dense consistency, which later often replaced by scar. Scarring and autoaggression to his own sperm can become a cause of infertility after acute epididymitis. Sometimes epididymitis in the process involves the vas deferens (vasitis) or the entire spermatic cord (funiculitis). In the first case, the vas deferens is determined by palpation is painful tight cord. The second strand is detected the presence of the disease with the thickness of a finger. For gonorrhea etiology of epididymitis typically subacute or torpid course.
Chronic epididymitis is the outcome of acute inflammation of the epididymis. In chronic epididymitis in remission the patient does not experience discomfort. During exacerbation appears discomfort in the scrotum. Repeated inflammation lead to fibrotic degeneration of the epididymis, which is often accompanied by scarring and obstruction of the vas deferens. Palpable in a patient with chronic epididymitis is determined by compaction, sometimes - increase in the epididymis. Often reveals thickening of the spermatic cord and increase the diameter of the vas deferens. Reduced sperm's ability to fertilize and scarring in chronic epididymitis may lead to infertility.
Acute epididymitis in the absence of timely treatment may be complicated by suppuration of the epididymis. In the formation of a purulent focus the patient's condition worsens, hyperthermia and growing phenomenon of general intoxication. scrotal skin with purulent epididymitis becomes smooth, glossy, sharply painful. Spread of inflammation to testis leads to the development of acute orchitis. In chronic epididymitis the epididymis tissue is gradually replaced by connective tissue. Scarring is obstructive obstruction of the epididymis and the causes of infertility in patients with bilateral epididymitis.
Preventive measures aimed at preventing the development of epididymitis are as timely treatment of chronic inflammatory diseases of the genitourinary system. Early detection helps epididymitis patient monitoring of their condition after suffering a common infectious disease.
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