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Может протекать в острой и хронической форме [5](https://mc21.ru/articles/epididimit/). \n\n**По распространённости**: \n- **Односторонний** — воспаление возникает на придатке только одного яичка [11](https://polyclin.ru/articles/epididimit/). \n- **Двусторонний** — воспаление затрагивает оба придатка [11](https://polyclin.ru/articles/epididimit/). \n\n**Чаще всего диагностируется** у мужчин в возрасте от 20 до 50 лет [1](https://www.OnClinic.ru/epididimit/). У детей младшего возраста эпидидимит отмечается реже [5](https://mc21.ru/articles/epididimit/).\n\n\n\n## Причины\n**Основная причина** — проникновение в придаток яичка специфических или неспецифических возбудителей [7](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_urology/epididymitis). Некоторые факторы, которые могут вызвать эпидидимит: \n* **Инфекции, передающиеся половым путём** (гонорея, хламидиоз и др.) [6](https://ProBolezny.ru/epididimit/)[7](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_urology/epididymitis). \n* **Осложнённые формы простатита, уретрита, острого цистита** и других воспалительных болезней органов малого таза и мошонки [6](https://ProBolezny.ru/epididimit/). \n* **Урологические вмешательства и травмы** (например, операции по поводу варикоцеле, паховой грыжи) [7](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_urology/epididymitis). \n* **Травмы мошонки** [1](https://www.OnClinic.ru/epididimit/)[11](https://polyclin.ru/articles/epididimit/).\n\n## Симптомы\n**При острой форме** эпидидимита наблюдаются [10](https://www.MedCentrServis.ru/disease/ehpididimit/): \n* боль в области мошонки, отдающая в паховую область и поясницу [10](https://www.MedCentrServis.ru/disease/ehpididimit/); \n* покраснение и увеличение мошонки из-за отёка [10](https://www.MedCentrServis.ru/disease/ehpididimit/); \n* высокая температура тела (до 40 градусов) [10](https://www.MedCentrServis.ru/disease/ehpididimit/); \n* боль при мочеиспускании (жжение и рези) [10](https://www.MedCentrServis.ru/disease/ehpididimit/). \n\n**При хронической форме** симптомы не такие яркие: дискомфорт и ощущения тяжести внизу живота, увеличение или уплотнение придатков, нарушения в интимной сфере [10](https://www.MedCentrServis.ru/disease/ehpididimit/).\n\n## Диагностика\n**При появлении болезненных симптомов, отёка и покраснения мошонки** следует незамедлительно обратиться к врачу-урологу [5](https://mc21.ru/articles/epididimit/). Некоторые методы диагностики: \n* **Осмотр и пальпация** — врач оценивает состояние и размеры мошонки, наличие болезненности, покраснения кожи в области яичка, уплотнения придатка [5](https://mc21.ru/articles/epididimit/). \n* **Лабораторные исследования** — общеклинические анализы крови и мочи, бакпосев средней порции мочи с определением чувствительности микроорганизмов к антибиотикам [12](https://klinikabudzdorov.ru/diseases/epididimit/). \n* **Инструментальная диагностика** — УЗИ органов мошонки, малого таза, почек [12](https://klinikabudzdorov.ru/diseases/epididimit/).\n\n## Лечение\n**Основа консервативной терапии** — антибактериальные средства [4](https://alfazdrav.ru/zabolevania/urologiya/epididimit/)[12](https://klinikabudzdorov.ru/diseases/epididimit/). Конкретный препарат подбирается с учётом типа возбудителя, выраженности воспалительного процесса, возраста мужчины и наличия у него сопутствующих заболеваний [4](https://alfazdrav.ru/zabolevania/urologiya/epididimit/). \n\n**В комплексной терапии** также показаны приём противовоспалительных средств, анальгетиков [4](https://alfazdrav.ru/zabolevania/urologiya/epididimit/). При хронических формах назначаются препараты для улучшения микроциркуляции крови, физиопроцедуры (в период затухания воспаления) [4](https://alfazdrav.ru/zabolevania/urologiya/epididimit/). \n\n**Хирургическое лечение** проводится при наличии осложнений либо высоком риске их развития [4](https://alfazdrav.ru/zabolevania/urologiya/epididimit/). 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