Epididymitis

Symptoms:

• painful scrotal swelling (testes enlarged)
• a testicular lump
• a tender, swollen testicle on affected side
• a tender, swollen groin area on affected side
• testicle pain aggravated by bowel movement
• a fever
• discharge from urethra (the opening at the end of the penis)
• pain with urination
• pain with intercourse or ejaculation
• blood in the semen
• groin pain

Signs and tests:

Physical examination shows a tender and sometimes swollen testicle on the affected side. Tenderness can usually be localized to a small area of the testicle where the epididymitis is attached. Enlarged lymph nodes in the groin area (inguinal nodes) may be present. There may be a discharge from penis. A rectal examination may reveal an enlarged or tender prostate.

These tests may be performed:

• a urinalysis and culture (the provider may request several specimens including: initial stream, mid-stream, and after a prostate massage).
• tests to screen for Chlamydia and gonorrhea
• a CBC
• blood chemistry