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Epididymitis
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==Signs and symptoms== [[Image:Epididymis-KDS.jpg|thumb|Adult human testicle with epididymis: A. Head of epididymis, B. Body of epididymis, C. Tail of epididymis, and D. Vas deferens]] Those aged 15 to 35 are most commonly affected.<ref name=AFP2009/> The acute form usually develops over several days, with pain and swelling frequently in only one testis, which will hang low in the scrotum.<ref name=brown/> There will often be a recent history of [[dysuria]] or [[urethra|urethral discharge]].<ref name=brown/> Fever is also a common symptom. In the chronic version, the patient may have painful point tenderness but may or may not have an irregular epididymis upon [[palpation]], though palpation may reveal an indurated epididymis. A scrotal ultrasound may reveal problems with the epididymis, but such an ultrasound may also show nothing unusual. The majority of patients who present with chronic epididymitis have had symptoms for over five years.<ref name=kav/>{{rp|p.311}} ===Complications=== Untreated, acute epididymitis's major complications are [[abscess]] formation and testicular [[infarction]]. Chronic epididymitis can lead to permanent damage or even destruction of the epididymis and testicle (resulting in infertility and/or [[hypogonadism]]), and infection may spread to any other [[organ (anatomy)|organ]] or system of the body. Chronic pain is also an associated complication for untreated chronic epididymitis.<ref name=nickel/>
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