Question Title: ? epidiymitis

There are different reasons for scrotal pain and swelling. These include: torsion of spermatic cord, torsion of appendages of testicle or epidididymoorchitis. Further causes, such as mumps, orchitis or even testicular tumors, should be included. These can be diagnosed by physical exam, ultrasound and labaratory tests. Torsion of the spermatic cord is the most serious cause, since, if not taken care of right away surgically, it could lead to loss of the involved testicle. Given the evaluation that was done by your pediatrician, your grandson most likely was O.K., but an evaluation by a urologist would be quite appropriate, too.
As for your question about epididymitis, it is not as common in children as in adults, but anywhere from 8% to 40% of sudden scrotal swelling could be due to epididymitis. It is more common in uncircumcised boys with urinary tract infections or children with some structural abnormality. Treatment with antibiotics should be provided on the basis of urine cultures and sensitivities. Antiinflammatory pain medications are also a useful adjunct. It is a good idea to foliow -up with a urologist for an evaluation, and in the case of any recurrence of the pain.

This information is provided for general medical educational purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568).

Sincerely,
HFHS M.D.-BE
*keyword: testicular pain/ epididymitis