Aetiology of acute epididymitis

24 patients with acute epididymitis were examined and underwent urethral and urine cultures for Neisseria gonorrhoeae, Ureaplasma urealyticum, herpes-simplex virus, Chlamydia trachomatis, cytomegalovirus, and gram-negative aerobic bacteria. The results suggest that in young men the sexually transmitted organisms which cause urethritis (N. gonorrhoeae, C. trachomatis, and possibly U. urealyticum) may also lead to acute epididymitis, whereas in older men coliforms and Pseudomonas are the predominant causes of epididymitis.