Last updated: Tuesday, 30, November, 2010
Usually infective (especially Gram-negative bacilli).
May be associated with prostatitis or urinary tract infection.
Urine microscopy and culture; genital swabs (urethral) to exclude gonorrhoea and chlamydial infection.
See also Orchitis.
Tuberculous epididymo-orchitis is usually associated with renal tuberculosis: mycobacteria testing - urine.
Epididymal biopsy, with culture for Mycobacterium tuberculosis, only if the diagnosis is uncertain, as there is a significant risk of infertility as a result of the procedure.