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A health care practitioner will take a detailed history (including a sexual history), collect a urine sample, and perform a physical examination, including a prostate exam.
The health care practitioner likely will treat the individual with antibiotics through an IV, a shot, or pills orally (to be taken for 10 days or longer). Often the treatment depends on the identity of the infecting bacteria; many physicians elect to treat with at least two different antibiotics because individuals are occasionally infected with more than one organism.
This is a condition called acquired undescended testes, or acquired cryptorchidism, which can happen between one and 10 years of age. It is thought to be caused by the spermatic cords that attach each testis to the body not growing at the same pace as the rest of the body.
Treatment is necessary for several reasons: Being up in the body means the undescended testicle is at a higher temperature than usual (testicles need to be below regular body temperature to produce sperm). The higher temperature may harm the testicle’s development and its ability to make sperm in the future.
Luckily, about half of these testicles will drop on their own during the first 3 months of life. But testicles won't drop on their own after 3 months of age. Thus, about 1 or 2 out of 100 boys with undescended testicles will need treatment.
An undescended testicle (or " testis") is when it fails to drop into the normal place in the scrotum. Your child's health care provider can find this during a routine exam. This issue is found in about 3 or 4 out of 100 newborns (and up to 21 out of 100 premature newborns). Luckily, about half of these testicles will drop on their own during ...
Doctors usually diagnose cryptorchidism during a physical exam at birth or at a checkup shortly after. Most undescended testicles can be located or “palpated” on exam by the doctor. In a few boys, the testicle may not be where it can be located or palpated, and may appear to be missing.
The pathogenic microorganisms usually reach the epididymis by ascending the vasa deferentia from an already infected urethra or bladder. Of the selections available, this is the only option that accurately describes how the epididymis becomes infected.
b. The pathogenic microorganisms are attached to sperm that travel through the genital tract.
The risk of testicular cancer is 35 to 50 times greater in men with cryptorchidism or in those with a history of cryptorchidism than it is for the general male population. This is not true of the other options.
Peyronie disease. ANS: D. Peyronie disease (bent nail syndrome) is a fibrotic condition of the tunica albuginea of the penis, resulting in varying degrees of curvature and sexual dysfunction (see Figure 25-2).
Bacterial prostatitis can exhibit common manifestations that include a sudden onset of malaise, low back and perineal pain, high fever (up to 40° C [104° F]), and chills, as well as dysuria, inability to empty the bladder, nocturia, and urinary retention. Myalgia and arthralgia also may occur.
The first sign of puberty in boys is an enlargement of the testes and a thinning of the scrotal skin.
BPH becomes problematic as prostatic tissue compresses the urethra, where it passes through the prostate. Of the selections available, only this option accurately describes the pathophysiologic condition behind the symptoms of BPH.
STIs. Gonorrhea and chlamydia are the most common causes of epididymitis in young, sexually active men.
Epididymitis that lasts longer than six weeks or that recurs is considered chronic. Symptoms of chronic epididymitis might come on gradually. Sometimes the cause of chronic epididymitis isn't identified.
Urine in the epididymis (chemical epididymitis). This condition occurs when urine flows backward into the epididymis, possibly because of heavy lifting or straining. Trauma. A groin injury can cause epididymitis. Tuberculosis. Rarely, epididymitis can be caused by tuberculosis infection.
History of medical procedures that affect the urinary tract, such as insertion of a urinary catheter or scope into the penis. An uncircumcised penis or an anatomical abnormality of the urinary tract. Prostate enlargement, which increases the risk of bladder infections and epididymitis.
Signs and symptoms of epididymitis might include: Testicle pain and tenderness, usually on one side, that usually comes on gradually.
A swollen, red or warm scrotum. Testicle pain and tenderness, usually on one side, that usually comes on gradually. Painful urination or an urgent or frequent need to urinate. Discharge from the penis. Pain or discomfort in the lower abdomen or pelvic area. Blood in the semen.
Never ignore scrotal pain or swelling, which can be caused by a number of conditions. Some of them require immediate treatment to avoid permanent damage.
Most cases of epididymitis are caused by an infection, usually by the bacteria Mycoplasma or Chlamydia. These infections often come by way of sexually transmitted diseases.
This swelling can cause intense pain in the testicle. It can occur in men of any age, though it happens most often in men between the ages of 14 and 35.
Epididymitis caused by bacteria is treated with antibiotics, most often doxycycline (Oracea®, Monodox®), ciprofloxacin (Cipro®), levofloxacin (Levaquin®), or trimethoprim-sulfamethoxazole (Bactrim®). Antibiotics are usually taken for 1 to 2 weeks. Men who have epididymitis can also relieve their symptoms by: Resting. Elevating the scrotum.
Sometimes epididymitis occurs when urine flows backward into the epididymis. This can happen as a result of heavy lifting. Other causes of epididymitis include:
Epididymitis. Epididymitis is inflammation (swelling and irritation) of the epididymis, a tube at the back of the testicle that carries sperm. This swelling can cause intense pain in the testicle. It can occur in men of any age, though it happens most often in men between the ages of 14 and 35.
Epididymitis usually does not cause any long-term problems. Most men who are treated for the condition start to feel better after 3 days, though discomfort and swelling may last weeks or even months after finishing antibiotic treatment. It is important to finish the entire treatment recommended by your doctor.
Symptoms of epididymitis include: Pain in the scrotum, sometimes moving to the rest of the groin. Swelling and redness in the testicle. Blood in the semen. Fever and chills. Pain when urinating.
The epididymis also absorbs fluid and adds substances to help nourish the maturing sperm. Each epididymis is directly attached ...
Share Your Story. Picture of the male urinary and reproductive system. Epididymitis is infection or less frequently, inflammation of the epididymis (the coiled tube on the back of the testicle). The majority of men that develop epididymitis develop it because of a bacterial infection. Although males of any age can develop epididymitis, ...
A health care practitioner will take a detailed history (including a sexual history), collect a urine sample, and perform a physical examination, including a prostate exam.
The health care practitioner likely will treat the individual with antibiotics through an IV, a shot, or pills orally (to be taken for 10 days or longer). Often the treatment depends on the identity of the infecting bacteria; many physicians elect to treat with at least two different antibiotics because individuals are occasionally infected with more than one organism.
This is termed epididymo- orchitis (infection/inflammation of both the epididymis and testicle). Also, testicular infection is the most common reason for inflammation in the scrotum. The other end of the epididymis attaches to the vas deferens which leads to the prostate gland and then to the urethra.
If the infection is not treated early, complications may develop that require surgery. For patients with non-infectious causes of epididymitis (for example, chemical, inflammation) anti-inflammatory medication is often prescribed; occasionally, consultation with a urologist is recommended for additional treatments.
The bacterial species are Chlamydia trachomatis and Neisseria gonorrhea, respectively. In those older than 39 years of age, the causes are usually coliforms, which are bacteria (such as Escherichia coli) that live in the intestines. These organisms also frequently cause bladder infections.
Chronic epididymitis develops slowly and has a duller pain. It is a long-term problem that lasts for longer than 6 weeks. Males of any age can be affected by the condition. If the testicles also become inflamed and painful, then this is known as epididymo-orchitis.
Fever or chills are common symptoms of epididymitis. Epididymitis will cause pain in one or both testicles. The affected area will also be red, swollen, and warm to touch. If it is left untreated, it will worsen over time. Other symptoms include: fever. chills. heaviness in the affected testicle.
The following factors often cause UTIs in men: enlarged prostate pressing on the bladder. insertion of a catheter into the penis. surgery on the groin, bladder, or prostate gland.
In general, once treatment has started the pain associated with epididymitis will go within 1 to 3 days. Trusted Source. . However, some of the symptoms can take months to disappear. In more severe cases, a person may have to stay in the hospital and may require some surgical procedures.
Epididymitis is when this tube becomes painful, swollen, and inflamed.
Causes. The epididymis stores and carries sperm, and may become swollen and inflamed due to a bacterial infection. The spread of a bacterial infection usually causes epididymitis. This infection will often start in the urethra, prostate, or bladder.
What is epididymitis? In the back of the testicles, there is a coiled tube called the epididymis. This tube stores and carries sperm and is linked to the ejaculatory duct by another tube called the vas deferens. Epididymitis is when this tube becomes painful, swollen, and inflamed.