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Epididymo-orchitis, if the condition spreads from the epididymis to a testicle.Collection of fluid around the testicle, called a hydrocele.Pus-filled infection, called an abscess, in the scrotum.Other health conditions that cause a weakened immune system, such as HIV.Prostate enlargement, which increases the risk of bladder infections and epididymitis.A difference in the typical anatomy of the urinary tract.Having a medical procedure done that affects the urinary tract, such as insertion of a urinary catheter or scope into the penis.Having a prostate or urinary tract infection.Risk factors for epididymitis that's not sexually transmitted include: Rarely, epididymitis can be caused by tuberculosis infection.Ĭertain sexual behaviors that can lead to STIs put you at risk of sexually transmitted epididymitis, including having: It may be the result of heavy lifting or straining. This condition occurs when urine flows backward into the epididymis, causing chemical irritation. Also, viral infections, such as the mumps virus, can result in epididymitis. Bacteria from a urinary tract or prostate infection might spread from the infected site to the epididymis. Gonorrhea and chlamydia are the most common causes of epididymitis in young, sexually active males. The penis ejaculates semen during sexual intercourse. Fluid from the seminal vesicles and prostate gland combine with sperm to make semen. The male reproductive system makes, stores and moves sperm. If you have discharge from your penis or pain when you pass urine, see a health care provider. If you have severe pain in the scrotum, seek emergency treatment. Some of them need treatment right away to avoid permanent damage. This can be caused by a number of conditions. When to see a doctorĭon't ignore scrotal pain or swelling. Sometimes the cause of chronic epididymitis isn't able to be found. Symptoms of chronic epididymitis might come on slowly.

Pain or discomfort in the lower abdomen or pelvic areaĮpididymitis that lasts longer than six weeks or that happens over and over again is considered chronic.Testicle pain and tenderness, usually on one side, that often comes on slowly.Epididymitis is an inflammation of the coiled tube, called the epididymis, at the back of the testicle.