Pediatric Epididymitis: Pathophysiology, Diagnosis, and Management

Marc N. Richman, MD, Timothy P. Bukowski, MD, University of North Carolina at Chapel Hill


Infect Urol. 2001;14(2) 

In This Article

Abstract and Introduction

Epididymitis may be the most common cause of acute scrotum in older boys, and differentiating it from testicular torsion is imperative. Genitourinary abnormalities tend to be the causative factors in infants and young boys. Management (from supportive measures to surgery) suits the underlying cause.

Epididymitis is an important consideration in the differential diagnosis of the acute scrotum in children. Because of the many causes and presentations of epididymitis, which often differ across age groups, knowledge of the disease process is important in order to differentiate epididymitis from other, more serious scrotal conditions, such as testicular torsion and tumor. The urologist must also be aware of the associated genitourinary (GU) anomalies that may present with epididymitis.


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