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Epididymitis

Hi, I'm 20 years old, and I was recently diagnosed with epididymitis most likely due to an E.Coli infection (because I'm still a virgin).  I'm wondering what could cause it because I took 7 days of ciproflaxxin, but it came back a week later.   However, I have done "anal masturbation" (using a sex toy (dildo) for anal stimulation).  I did this (anal masturbation) a few times over the course of a year, then got epididymitis for the first time, took the medicine, symptoms went away, then did anal masturbation one time, and it came back .  Urine test was negative, meaning everything was fine there and got an ultrasound of my testicles and that was fine too, along with a cat scan ruling out kidney stones.  So two doctors think it is epididymitis, which I do too, I'm just wondering if anal masturbation can cause epididymitis, and if so, is there any way to get it to stop causing it?
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What made me think it was "anal masturbation" was that I've read of a few different websites that pressure from the anus from insertion can cause a urine reflux where urine goes up through the vas defens back to the epididymis, causing the delicate tubes of the epididymitis to get inflamed.  Do you think that is possible and what is the recovery time/work required to get back to 100% (including sexual suggestions (allowances)-intercourse, masturbation..etc)?
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Avatar universal
My teenage son has been complaining of an occasional and intermittent squeezing pain to the deep innermost area of the urethra above and behind the testicles (directly up from the perineum) following urination.  I have shown him an anatomical diagram of the male, and this is where he points the pain to be.  He saw our PCP a couple of months ago who told him it was most likely epididmytis and recommended no treatment.  The pain has now been persistent for about 4-5 months, and I am starting to worry and my son is getting anxious as well.  There is no swelling present, and again the pain is only present occasionally at the end of urination. He has been diagnosed and treated for Chlamydia twice over the past few years, but he was tested again when he saw his PCP for this pain and all STD's were negative.  Please tell me what your recommendations would be at this point.  
Thank you so much,
Concerned Mom in NM
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233190 tn?1278549801
MEDICAL PROFESSIONAL
Although possible, I am not aware of specific causes where anal masturbation can lead to epididymitis.  

If there is an abscess, this can cause recurrent infection despite antibiotic treatment.

I agree with the imaging tests that you have had thus far.  Imaging the prostate with a transrectal ultrasound can be done to exclude a prostatic abscess.

These questions can be discussed with your personal urologist.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
kevinmd_
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