Idiopathic Granulomatous Epididymitis

Definition

Idiopathic granulomatous epididymitis (IGE) refers to a lesion of the epididymis requiring a period of ≥6 weeks for the duration of symptoms, while others accept a period of 3 months, with no identifiable etiology (Çek et al. 2017).

Clinical Feature

• Incidence

  Idiopathic granulomatous epididymitis is rare.

• Age

  It affects the adult male usually 40–59 years old.

• Sex

  Male.

• Site

  Typically unilateral swelling and tenderness of epididymis, usually beginning in the tail and spreading to involve the whole of the epididymis.

• Treatment

  Some patients who were only medically treated for granulomatous orchitis have recovered, but orchidectomy in cases without a preoperatory diagnosis is the treatment of choice (Morozumi et al. 2018).

• Outcome

  Patients with a 6 weeks or longer history of discomfort or pain in the epididymis may experience testicular pain generally without any signs of infection; induration involving the spermatic cord could be another symptom.

Macroscopy

A mass with small...