Epididymis - Diseases

Which diseases are related to the epididymis?

1. Epididymitis (epididymitis):
The most common disease is the epididymitis. The epididymis are painful and swollen, the skin of the scrotum is red. The pain often radiates to the groin. Frequently, moderate, rarely high fever occurs. Mostly, the affected person generally feels sick and injured.

If there is a urinary tract infection at the same time, there is still more pain when urinating and constant urination. The causative agents of epididymitis are usually bacteria that migrate from the urinary tract, the prostate or the testes into the epididymis.

In younger men, it is mainly sexually transmitted germs such as chlamydia or the causative agents of gonorrhea ("gonorrhea") that cause epididymitis. In older men with enlarged prostate, the bladder often does not empty completely. In the residual urine, which remains in the bladder, bacteria easily multiply. Due to the great pressure with which the patients empty their bladder, an overpressure is created, through which the bacteria pass through the urethra and the vas deferens into the epididymis.

The most common pathogens are Escherichia coli, Enterococci, Proteus mirabilis, Klebsiella and Pseudomonas aeruginosa. Even wearing a bladder catheter over a longer period favors an epididymitis. Through the thin catheter tube, which leads directly into the bladder, relatively easily penetrate bacteria and enter the epididymis via the vas deferens.

Children and adolescents rarely have epididymitis. Here is often a twisting of the testicles (testicular torsion) the cause of pain and discomfort in the testicle area. If you suspect a doctor immediately, a testicular torsion must be operated immediately, otherwise the testes dies for lack of blood flow.

Although an epididymitis is often bacterial, but also a bruise or beatings on the epididymis cause an inflammatory reaction.

Therapy: Antibiotics inhibit bacterial growth. The sometimes considerable pain is treated with anti-inflammatory analgesics. In addition, bed rest, high testicle support and cooling help. Wearing tight panties is also comfortable for most sufferers. It can take up to 6 weeks for an epididymitis to heal completely.

Complications: If the epididymitis is not treated consistently, it becomes chronic, possibly on the other epididymis or even on the testicles (epidymorchitis) on. In a bilateral epididymitis, a closure of the epididymal tubules or the spermatic duct is possible - which leads to infertility (obstruction zoospermia) and may need to be corrected in an operation if the child is a child. Very rarely, in particularly severe chronic cases, the epididymides are surgically completely removed (epididymectomy).

2. Von Hippel Lindau disease:
This very rare, hereditary disease usually occurs between the second and fourth decade of life. Tumors are formed on a wide variety of organs, most commonly in the eyes and in the central nervous system. But also the genitals can be affected. In men then z. B. Benign tumors, called cystadenomas, possible on the epididymis. These are felt as a crude, cherry-sized swelling above the testicles or diagnosed by ultrasound. These benign tumors are operated only if they are z. B. block the vas deferens and thereby lead to infertility.

3. Mumps (goat peter):
In 20 to 30% of all boys it comes in connection with a mumps disease to an orchitis, an inflammation of the testes - very rarely attacks this also on the epididymis.

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