Symptoms
The main symptoms are fever and pain, developing progressively over several hours, in the back portion of the testicles. Symptoms include fever and chills, pain in the groin, and tender, swollen epididymes.
Sudden pain in the scrotum, rapid unilateral scrotal enlargement, and marked tenderness of the testes, spermatic cord, and groin are characteristic manifestations.
Symptoms may follow acute physical strain (heavy lifting), trauma, or sexual activity. There may also be pain at the tip of the penis and urethral discharge.
Secondary orchitis with a swollen, painful testicle may occur. Orchitis is the generic name for any inflammation of the testicles. The symptoms of epididymitis and orchitis are much the same. Sometimes the names are used interchangeably. The symptoms of both are reddened scrotum, tense swollen testicles with sudden acute pain and fever. Orchitis can also be the result of a sports injury, or after surgery to remove a scrotal cyst, or vasectomy.
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