•           Epididymo-orchitis is inflammation of the epididymis and the testis due to various causes.

•           It can be acute or chronic. Infection reaches the epididymis via the vas deferens from the urinary tract.

•           A history of urinary tract infection is usually available.

•           The condition has to be differentiated from torsion of testis.

Salient features

•           The epididymis and the testis show swelling with shiny oedematous skin and tenderness. It may be possible to feel the epididymis and testis separately. The pain is relieved by rest elevation of testis.

•           Urine examination may shows pus cells Complications include secondary hydrocele with clear fluid, abscess formation and pus discharge from sinus formation.

Treatment

•           Bed rest and scrotal support.

•           Cap. Doxycycline 100mg once daily for 8-10 days. It may be change according to urine culture and sensitivity.

•           Analgesic and antipyretics may be required.