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Symptoms

Acute Epididymitis and Acute Epididymo-orchitis

Infections in the scrotum may be caused by an infection somewhere else in the body. The symptoms can be felt in the infected epididymis and/or teste, and in other parts of the groin area.

In some cases, the main symptom you'll notice is pain in the scrotum. The pain starts at the back of one teste. But it can soon spread to the whole teste, scrotum, and sometimes the groin. The skin might also be swollen, tender, red, firm, and warm. The whole scrotum can also swell up with fluid ("hydrocele").

Some sources of infection and their symptoms are:

Infection of the urethra ("urethritis")

  • Pain and/or burning with urination or blood with urine
  • Pain in the penis and groin area

Infection of the bladder ("cystitis")

  • Pain in the lower part of the abdomen
  • The need to urinate often, suddenly, with a burning feeling

Infection of the prostate ("prostatitis")

  • Pain between the scrotum and the anus
  • The need to urinate often, suddenly, with a burning feeling

Infection of the kidney ("pyelonephritis")

  • Fever
  • Pain in your side

Chronic Epididymitis

Chronic epididymitis pain is felt only inside the scrotum. It's less severe than an acute condition. It can be intermittent, may require antibiotics or anti-inflammatory medication or may go away by itself. The skin isn't swollen, tender, red, firm, or warm.

Acute Orchitis

The symptoms for orchitis are uncommon and can be from a viral or bacterial infection. Pain can start in one teste, and can spread to the whole scrotum. The skin might also be swollen, tender, red, firm, and warm. You may have fever. The whole scrotum can swell and feel painful.

Symptoms for orchitis caused by the mumps virus ("mumps orchitis") include:

  • Mild to severe pain
  • Tenderness
  • Swelling

If the mumps virus are the cause, pain in the teste can appear up to 7 days after glands in the face swell.