Page 27 - SONO 260 Chapter 13 The Male Pelvis
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PATHOLOGY OF THE SCROTUM EPIDIDYMITIS AND EPIDIDYMOORCHITIS
• INFLAMMATION OF THE EPIDIDYMIS IS REFERRED TO AS EPIDIDYMITIS.
• EPIDIDYMITIS IS THE MOST COMMON CAUSE OF ACUTE TESTICULAR PAIN IN ADULTS.
• PATIENTS WITH EPIDIDYMITIS CAN PRESENT WITH FEVER, DYSURIA, URETHRAL DISCHARGE, AND SCROTAL WALL EDEMA.
• INFECTIONS THAT OCCUR WITHIN THE SCROTUM ARE ASCENDING. THEREFORE, MOST INFECTIONS START WITHIN THE URINARY TRACT OR PROSTATE, AND PROCEED INTO THE VAS DEFERENS, EPIDIDYMAL TAIL, EPIDIDYMAL BODY, EPIDIDYMAL HEAD, AND PERHAPS INTO THE TESTIS.
• INFLAMMATION OF THE TESTIS IS REFERRED TO AS ORCHITIS.
• CONSEQUENTLY, THE COMBINATION OF AN INFECTION WITHIN THE
EPIDIDYMIS AND TESTIS IS TERMED EPIDIDYMOORCHITIS.
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