title: Chronic scrotal pain caused by Mild Epididymitis:Report of a series of 44 cases.
abstract: OBJECTIVE
  Patients with idiopathic chronic scrotal pain are challenging to both the general practioner and urologist. In this study, we tried to recognize mild epididymitis as an underrecogniczed cause of idiopathic chronic scrotal pain. Methods : We described a consecutive series of 44 patients with idiopathic chronic scrotal pain characterized by mild scrotal pain, mild to moderate tenderness of epididymis without abnormal swelling of epididymis. We obtained a detailed history and physical examination along with routine urinalysis and Doppler ultrasound to identify the characteristics of this new clinical entity. Results : A consecutive series of 44 patients who were primarily diagnosed as "idiopathic chronic scrotal pain" came to our hospital. All had the sign of mild to moderate tenderness on the affected epididymis without epididymis enlargement. Doppler ultrasound showed the affected epididymis with normal size and no abnormal change. We treated them with antibiotics orally along with cessation of strenuous activity and all fully recovered from scrotal pain.
  
  
  CONCLUSIONS
  In this study, we recognized mild epididymitis as an underrecogniczed cause of idiopathic chronic scrotal pain. It was characterized by mild scrotal pain, mild to moderate tenderness of epididymis without abnormal enlargement of epididymis.
authors.affiliation: Yongqing Lai, Department of Urology, Peking University Shenzhen Hospital, Shenzhen, 518036, P.R. China.
authors.forename: Yongqing
authors.initials: Y
authors.lastname: Lai
authors.affiliation: Zuhu Yu, Department of Urology, Peking University Shenzhen Hospital, Shenzhen, 518036, P.R. China.
authors.forename: Zuhu
authors.initials: Z
authors.lastname: Yu
authors.affiliation: Bentao Shi, Department of Urology, Peking University Shenzhen Hospital, Shenzhen, 518036, P.R. China.
authors.forename: Bentao
authors.initials: B
authors.lastname: Shi
authors.affiliation: Liangchao Ni, Department of Urology, Peking University Shenzhen Hospital, Shenzhen, 518036, P.R. China.
authors.forename: Liangchao
authors.initials: L
authors.lastname: Ni
authors.affiliation: Yunchu Liu, Department of Urology, Peking University Shenzhen Hospital, Shenzhen, 518036, P.R. China.
authors.forename: Yunchu
authors.initials: Y
authors.lastname: Liu
authors.affiliation: Shangqi Yang, Department of Urology, Peking University Shenzhen Hospital, Shenzhen, 518036, P.R. China.
authors.forename: Shangqi
authors.initials: S
authors.lastname: Yang
keywords: Chronic scrotal pain; Idiopathic; Mild Epididymitis; Underrecogniczed cause