True about acute epididymitis is -
Acute epididymitis and ac. epididymorchitis are inflammation of the epididymis and testis due to infective pathology.

Infection reaches the epididymis through the vas from urethra. Sometimes it may be blood borne.
MC infective organism in sexually active young males is Gonococcus and Chlamydia, and in children and older men are d/t urinary pathogen such as E. coli.

Clinical symptoms

the pts. presents with a fever, very painful, swollen, red, tender scrotum.
The epididymis and the testis are both swollen.
The acute painful condition has to be differentiated from torsion of testis.

Treatment

antibiotics,
rest &
lots of fluid
Associated with urinary infection
Painless
Scrotum size is reduced
Does not mimic with torsion of testes