Based on history, clinical examination, the presence or absence of accompanying disease, laboratory and imaging investigations. It’s essential that a complete urine culture and control with U/S is performed. If coexisting urethral discharge coexists, it’s essential a Chlamydia and N. gonorrhea culture. In young children and in the elderly, thorough urinary control is required for possible concomitant diseases or conditions that predispose to epididymitis.
• testicular torsion
• testicular trauma
• testicular cancer
• seminiferous tubules’ obstruction
• destruction of testicular parenchyma.