genitourinary disorders
Epididymitis
Diagnosis of Epididymitis
Clinical evaluation Sometimes urethral swab and urine culture Diagnosis of epididymitis is confirmed by finding swelling and tenderness of the epididymis. However, unless findings are clearly isolated to the epididymis, Testicular Torsion must also be considered, particularly in patients In males with acute scrotal pain, exclude testicular torsion unless findings are clearly limited to the epididymis. Urethritis suggests that the cause of epididymitis is a sexually transmitted pathogen, and a urethral swab is sent for gonococcus and chlamydia nucleic acid amplification testing (NAAT) or culture. Otherwise, the infecting organism usually can be identified by urine culture. Urinalysis and culture are normal in nonbacterial causes. 