Epidymitis: Tests and Diagnosis

What tests are used to diagnose epididymitis?

A medical history and physical examination is performed in order to diagnose this epididymitis. A urine specimen will be obtained and sent for a urinalysis – this will help determine whether or not your child has a urinary tract infection. A scrotal ultrasound may also be performed to help distinguish epididymitis from other conditions that present similar symptoms.

Not all scrotal pain is due to epididymitis. In some cases, the pain may be the result of testicular torsion, twisting of the blood vessels in the testicle, which reduces blood flow to the testis. In most cases, emergency surgical intervention is required to untwist the spermatic cord in an effort to save the testis. Although this condition usually has a sudden onset and is associated with severe scrotal pain, this is not always the case. With this in mind, we recommend that all scrotal pain be assessed by a healthcare provider in a timely fashion.

How do doctors at Children’s Hospital Colorado make a diagnosis?

A medical history and physical examination is performed in order to diagnose this condition, as the testicle is normal but the epididymis that lies behind the testicle is tender and painful. In addition, a testicular ultrasound and a urine samle are often performed to help decide on treatment and to ensure that there is not another problem affecting the testicle.