Pyuria with or without bacteria suggests infection and is consistent with epididymitis. In this deformity, the testicle lacks a normal attachment to the tunica vaginalis and therefore hangs freely. The epididymal appendix, located on the head of the epididymis, is a wolffian duct remnant and may also become twisted. Epididymitis or Orchitis Epididymitis in adolescents and young adults is often related to sexual activity and does not present with a urinary tract infection. In Scrotal Trauma Severe testicular injury is uncommon and usually results from either a direct blow to the scrotum or a straddle injury.
Damage occurs when the testis is forcefully compressed against the pubic bones.
A spectrum of injuries may occur. Other Causes Acute idiopathic scrotal edema is another possible cause of an acute scrotum. This condition is characterized by the rapid onset of significant edema without tenderness. Erythema may be present. The patient is usually afebrile, and all diagnostic tests are negative.