The most common type of scrotum inflammation is epididymis inflammation (epididymitis). An ascending infection of the seminal tract occurs, especially of the epididymis, and usually originates from a urinary tract infection or sexually transmitted diseases.
Another reason for recurrent epididymitis may be due to difficulties in urination caused by prostate enlargement or urethral stricture. Epididymitis is characterised by strong local, often unilateral pain, and redness and swelling of the scrotum, sometimes with fever.
Sometimes there is also a urinary tract infection or an accompanying inflammation of the equilateral testicle. In rare cases there may be formation of pus, which can lead, under certain circumstances, to the surgical removal of the epididymis. Isolated testicular inflammations are rare and are usually due a viral infection (e.g. mumps). They are treated symptomatically and with medication.
In case of acute pain in the testicular, it is important to exclude testicular torsion (twisting of the testis), especially in boys and young adults. In this case, the testicle is at risk to die off if it is not turned back surgically as quickly possible. It is therefore an urgent emergency.
A testicular or epididymal inflammation should be treated as soon as possible with antibiotics and anti-inflammatories. Pain relief therapy entails bed rest and cooling and elevating the scrotum. In addition, the causative reasons must be identified and treated if necessary (residual urine, prostate enlargement, etc.).
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According to this quick check, you have no indications of typical urological diseases. If you have any issues that have not yet been examined, it may best to contact your family doctor.
Please contact your family doctor with the symptoms. In the event of skin changes, you will at best be referred to a dermatologist.
Please have yourself examined by a urologist. Our doctors will be happy to assist you.