Diagnosis:

Your doctor will check for enlarged lymph nodes in your groin and an enlarged testicle on the affected side. Your doctor might also do a rectal examination to check for prostate enlargement or tenderness.

Tests your doctor might recommend include:

STI Screening:-

A narrow swab is inserted into the end of your penis to obtain a sample of discharge from your urethra. The sample is checked in the laboratory for gonorrhea and chlamydia.

Urine and Blood Tests:-

Samples of your urine and blood are analyzed for abnormalities.

Ultrasound:-

This imaging test might be used to rule out testicular torsion. Ultrasound with color Doppler can determine if the blood flow to your testicles is lower than normal indicating torsion or higher than normal, which helps confirm the diagnosis of epididymitis.

Treatment:

Antibiotics are needed to treat bacterial epididymitis and epididymo-orchitis. If the cause of the bacterial infection is an STI, your sexual partner also needs treatment. Take the entire course of antibiotics prescribed by your doctor, even if your symptoms clear up sooner, to ensure that the infection is gone.

You should start to feel better within 48 to 72 hours of starting an antibiotic. Resting, supporting the scrotum with an athletic supporter, applying ice packs and taking pain medication can help relieve discomfort.

Your doctor is likely to recommend a follow-up visit to check that the infection has cleared.

Surgery: –

If an abscess has formed, you might need surgery to drain it. Sometimes, all or part of the epididymis needs to be removed surgically. Surgery might also be considered if epididymitis is due to underlying physical abnormalities.

Lifestyle and Home Remedies: –

1-Avoid lifting heavy objects

2-Lie down so that your scrotum is elevated

3-Rest in bed

4-Wear an athletic supporter

5-Apply cold packs to your scrotum as tolerated

6-Avoid sexual intercourse until your infection has cleared