[Acute experimental and clinical epididymitis].

In pathogenesis of acute epididymitis (AE) an important role belongs to retrograde infection of the epididymis. The infection with urethral or urinary flora occurs via reflux and adhesive mechanisms. Staging of the disease and differentiation of acute epididymitis with epididymo-orchitis are the essential aims in the diagnosis. For elderly patients with AE who comprise the majority of AE patients urgent epididymectomy is thought the best therapeutic approach.