Signs and Symptoms
The mean age of patients who present with epididymitis is 41. The acute form develops over the course of several days, with pain and swelling frequently in only one testis, which will hang low in the scrotum. There will often be a history of dysuria or urethral discharge. Fever is also a common symptom. In the chronic version, the patient can have painful point tenderness but may or may not have an irregular epididymis upon palpation, though palpation may reveal an unusually firm epididymis. A scrotal ultrasound may reveal problems with the epididymis, but such an ultrasound may also show nothing unusual. The majority of patients with chronic epididymis have had symptoms for over five years.
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