Imaging
findings reveal hetrogenous intensity involving testis and
epidydimis, with
enlarged thickened epidydimis with secondary hydrocele.
Diagnosis
Chronic epididymitis (tuberculosis)
Discussion
Epididymitis is typically caused by bacterial organisms associated with
urinary tract infections, sexually transmitted diseases (such as chlamydia
and gonorrhea), prostatitis (infection of the prostate) or prostatectomy
(removal of the prostate). An increased risk is associated with sexually
active men who are not monogamous and do not use condoms, and also in
patients who have recently had surgery or have a history of structural
problems involving the genito-urinary tract.
Clinical
Findings
Epididymitis may begin with a low-grade fever and chills and a heavy
sensation in the testicle. The testicle becomes increasingly sensitive to
pressure or traction. There may be lower abdominal discomfort or pelvic
discomfort and urination may cause burning or pain. On occasion there may
be a discharge from the urethra, blood in the semen or pain on
ejaculation.
Symptoms
include painful scrotal swelling, testicular lump, fever, hematuria, and
groin pain.
Contribution:
Dr. Deepak
Patkar, MRI Centre, Nanavati Hospital, Mumbai
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