How Do You Get Epididymitis What Causes Chronic Epididymitis

epididymitis treatment time, a relatively common clinical condition characterized by inflammation of the epididymis, is often classified into acute epididymitis and chronic epididymitis. Acute epididymitis is the inflammation of epididymitis accompanied by pain and swelling, while chronic epididymitis may present only with pain. Etiological factors may be infectious or noninfectious, for example urinary obstruction, drug induced, or idiopathic. Bacterial ascent through the urogenital tract is the most common etiology in acute epididymitis, with Chlamydia trachomatis being isolated in all adult age groups.

Though men are rarely coming down with urinary tract infections, bacterial infection is the most common cause of acute epididymitis. The bacteria usually get to the epididymis by moving back through the urinary and reproductive structures(retrograde) such as the urethra, prostate, vas deferens into the epididymis. In rare circumstances, the infection reaches the epididymis via the bloodstream.

In sexually active men, Chlamydia trachomatis is accounting for two-thirds of acute cases, followed by Neisseria gonorrhoeae and enteric bacteria such as E. coli (or other bacteria that cause urinary tract infection). Particularly among men over age 35 in whom the cause is E. coli, epididymitis is commonly due to urinary tract obstruction. Less common microbes include Ureaplasma, Mycobacterium, and cytomegalovirus, or Cryptococcus in patients with HIV infection. E. coli is more common in boys before puberty, the elderly, and men who have sex with men. In the majority of cases in which bacteria are the cause, only one side of the scrotum or the other is the locus of pain.

Non-infectious causes are also possible. Reflux of sterile urine (urine without bacteria) through the ejaculatory ducts may cause inflammation with obstruction. In children, it may be a response following an infection with enterovirus, adenovirus or Mycoplasma pneumoniae. Rare non-infectious causes of chronic chronic epididymitis natural treatment include sarcoidosis (more prevalent in black men) and Behçet's disease.

Any form of epididymitis can be caused by genito-urinary surgery, including prostatectomy and urinary catheterization. Congestive epididymitis is a long-term complication of vasectomy. Chemical epididymitis may also result from drugs such as amiodarone.