Epididymitis, a rather common clinical condition seen as a inflammation with the epididymis, is usually classified into acute epididymitis and chronic epididymitis. Acute epididymitis will be the inflammation of epididymitis combined with pain and swelling, while chronic epididymitis may present just with pain. Etiological factors could be infectious or noninfectious, for instance urinary obstruction, drug induced, or idiopathic. Bacterial ascent through the urogenital tract is the most common etiology in acute epididymitis, with Chlamydia trachomatis being isolated in every adult age ranges.

Though these are rarely coming down with urinary tract infections recurrent epididymitis treatment, probably the most cases of acute epididymitis are generated by bacterial infection. The bacteria usually reach the epididymis by moving back over the urinary and reproductive structures(retrograde) like the urethra, prostate, vas deferens to the epididymis. In rare circumstances, chlamydia reaches the epididymis through bloodstream.

In those who are if perhaps you are, Chlamydia trachomatis is comprising two-thirds of acute cases, accompanied by Neisseria gonorrhoeae and enteric bacteria such as E. coli (or other bacteria that induce urinary tract infection). Particularly among men over age 35 in whom the source is E. coli, epididymitis due to urinary tract obstruction is frequently the underlying cause. Less common microbes include Ureaplasma, Mycobacterium, and cytomegalovirus, or Cryptococcus in patients with HIV infection. As to boys before puberty, the older males, and men who engage in rectal intercourse, they're easily have been infected with E. coli. In the tastes cases where bacteria are the main cause, merely one side with the scrotum or other will be the locus of pain.

Non-infectious causes can also be possible. Reflux of sterile urine (urine without bacteria) through the ejaculatory ducts might cause inflammation with obstruction. In children, it could be a reply following disease with enterovirus, adenovirus or Mycoplasma pneumoniae. Rare non-infectious reasons for chronic epididymitis include sarcoidosis (more widespread in black men) and Behçet's disease.

Any kind of epididymitis might be caused by genito-urinary surgery, including prostatectomy and urinary catheterization. Congestive epididymitis is often a long-term complication of vasectomy. Chemical epididymitis might also originate from drugs such as amiodarone.

Anyway, people should seek medical help immediately if they have been troubled by epididymitis. Dr.Lee Xiaoping focuses primarily on the joy of female and male reproductive and urinary system disease for 30 years. People will get professional treatments and suggestions from her.