The epididymis is a coiled, tubular structure located along the posterior aspect of the testis. It allows for the storage, maturation, and transport of sperm, connecting the efferent ducts of the testis to the vas deferens. Inflammation of the epididymis can be acute (< 6 wk) or chronic and is most commonly caused by infection.
Most cases of epididymitis occur in males aged 20 to 39 years, and most cases are associated with a sexually transmitted disease.
The most common causative pathogen is Escherichia coli. Sexually transmitted infections are present in some cases (Chlamydia trachomatis). Maybe viral in pubertal boys
Acute epididymitis is treated with antibiotic therapy, analgesics for pain control, and supportive care, which includes scrotal elevation and support, application of an ice pack, and, in some cases, spermatic cord block