The main symptoms of epididymoorchitis are scrotal pain and swelling. Other symptoms such as fever, nausea, vomiting and lower UTI symptoms may be present.^[1][2][3][4]

The main symptoms of epididymoorchitis include:^[1][2][3][4]

• Scrotal pain: scrotal pain in epididymoorchitis starts gradually, is usually unilateral and localized posterior to the testis. Pain my spread to the adjacent testis or radiate to the lower abdomen
• Scrotal swelling
• Lower urinary tract infection (UTI) symptoms: these include urgency, frequency, burning on urination (dysuria) or the presence blood in urine (hematuria)
• Constitutional symptoms: these include subjective or documented feeling of hotness, chills, nausea and vomiting

In the history, ask about certain precipitating factors to epididymoorchitis. These include:^[2]

• Sexual history, number of partners and recent changes in partners. Make sure to ask about urethral discharge.
• Recent viral illness: Isolated orchitis is a common complication of mumps viral infection and it usually manifests 7-10 days following the onset of fever and parotitis.
• Trauma to the genitalia.