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Description: Epididymitis is a medical condition in which there is inflammation of the epididymis (a curved structure at the back of the testicle in which sperm matures and is stored). This condition comprises gradual onset of testicular pain that can vary from mild to severe, and the scrotum may become red, warm and swollen. It may be acute or rarely chronic.
Epididymitis is the most frequent cause of acute onset scrotal pain in adults. In contrast with men that have testicular torsion, the cremaster reflex (elevation of the testicle in response to stroking the upper inner thigh) is not altered. If the diagnosis is not entirely clear from the patient's history and physical examination, a Doppler ultrasound scan can confirm increased flow of blood to the affected epididymis.