Chronic Epididymitis Treatment

Many patients with unilateral or bilateral testicular, epididymal, or scrotal pain as their only presenting sign receive a diagnosis of chronic epididymitis. This general clinical thing is diagnosed and treated by practicing urologists but basically ignored by academic urologists. This article defines chronic epididymitis, reviews current knowledge regarding its etiology, and explains appropriate physical assessment and clinical testing for patients with the situation. The recently developed Chronic Epididymitis symptom Index is accessible, which can be used for baseline assessment and follow-up of patients with chronic epididymitis, both in clinical practice and in research treatment trials. Treatment of Epididymitis options, from watchful waiting to medical therapy to epididymectomy, is reviewed.

Chronic epididymitis is a general clinical entity diagnosed and treated by practicing urologists but basically ignored by academic urologists. It is essential for the urologic community to determine the occurrence and prevalence, more explain the demographic associations, and determine the socioeconomic costs connected with this condition. It would be helpful to calculate the etiology and pathogenesis of this form by applying the same scientific rigor that is currently being employed in the evaluation of the etiology and pathogenesis of prostatitis and interstitial cystitis.

Practicing urologists would advantage really from prospective Treatment for Epididymitis, evaluating the most common healing employed antibiotics, anti-inflammatory agents, and surgery for this condition. A start has been made with the increase of a definition of the syndrome, a classification system that may verify useful in clinical trial and a symptom index that can be employed not only in clinical practice but also in potential treatment trials.