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- Urinary tract infection
- Sexually transmitted diseases (STDs), such as chlamydia and gonorrhea
- Infection of the urethra—urethritis
- Infection of the prostate—prostatitis
- Infection of the genitourinary tract—urethra, bladder, kidney, prostate, or testicle
- Narrowing of the urethra
- Use of a urethral catheter
- Infrequent emptying of the bladder
- Recent surgery or instrumentation of the genitourinary tract—especially prostate removal
- Birth defects of the genitourinary tract
- Unprotected sex
- Disease that affects the immune system
- Pain in the testicles
- Sudden redness or swelling of the scrotum
- Hardness, a lump, and/or soreness in the affected testicle
- Tenderness in the unaffected testicle
- Groin pain
- Inflammation of the urethra
- Pain during intercourse or ejaculation
- Pain and/or burning during urination
- Increased pain while having a bowel movement
- Lower abdominal discomfort
- Discharge from the penis
- Urine culture
- Culture or other test of discharge from penis
- Blood tests
- Bed rest—This keeps the testicles from moving and promotes healing. You may need bed rest until the swelling goes away.
- Antibiotics—You will be given antibiotics to treat a bacterial infection. Many cases of epididymitis are caused by sexually transmitted bacteria. Chlamydia is one of the most common. If you have an STD , your partner(s) will also need treatment.
- Oral anti-inflammatory medication—This includes drugs like ibuprofen to help reduce swelling.
- Scrotal elevation and support—You may need to wear an athletic supporter for several weeks.
- Warm baths—Taking baths can ease the pain and help relieve swelling.
- Surgery—This may be needed in severe cases that keep coming back.
- Practice safe sex. Protect yourself from STDs by using condoms .
- Empty your bladder as soon as you feel the need.
- Reviewer: Mohei Abouzied, MD, FACP
- Review Date: 09/2016
- Update Date: 09/24/2014