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Infections: Orchitis, & Epididymitis
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===Causes=== *'''Acute epididymitis''' **'''Usually results from the spread of infection from the bladder, urethra, or prostate via the ejaculatory ducts and vas deferens into the epididymis.''' **'''<span style="color:#ff0000">Source of infection and pathogen depends on population</span>''' ***'''<span style="color:#ff0000">In elderly males</span>''' ****'''<span style="color:#ff0000">Most common causes (3)</span>''' ****#'''<span style="color:#ff0000">BPH and associated stasis</span>''' ****#'''<span style="color:#ff0000">Urinary tract infection</span>''' ****#'''<span style="color:#ff0000">Catheterization</span>''' ****'''<span style="color:#ff0000">Most common pathogen in the pediatric and elderly age groups are the uropathogens </span>with E. coli as the most common organism'''. ***'''<span style="color:#ff0000">In sexually active males younger age < 35 who have sex with females</span>''' ****'''<span style="color:#ff0000">Commonly caused by sexually transmitted infection</span>''' ****'''<span style="color:#ff0000">Common pathogens: N. gonorrhoeae and C. trachomatis</span>''' ***'''<span style="color:#ff0000">Among males who have sex with males (MSM)</span>''' ****'''<span style="color:#ff0000">Can result from anal intercourse</span>''' ****'''<span style="color:#ff0000">Common pathogens: E. coli and Pseudomonas</span>''' *'''<span style="color:#ff0000">Chronic epididymitis (5)</span>''' *#'''<span style="color:#ff0000">Inadequately treated acute epididymitis</span>''' *#'''<span style="color:#ff0000">Recurrent epididymitis</span>''' *#'''<span style="color:#ff0000">Tuberculosis</span>''' *#'''<span style="color:#ff0000">Treatment with amiodarone</span>''' *#'''<span style="color:#ff0000">Behçet disease</span>''' *'''Recurrent epididymitis''' **'''Risk factors (4)''' **#'''Meatal stenosis''' **#'''Urethral stricture''' **#'''Voiding dysfunction (high pressure voiding)''' **#'''Ectopic ureter'''
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