A 33-year-old man presented with primary complaint of dysuria and unilateral discomfort of right testis. On examination, the right scrotum was erythematous and the patient was febrile. Digital rectal examination revealed a midline swelling. The patient was found to be in sepsis. Initial evaluation of urine microscopy, culture and testicular ultrasound confirmed the diagnosis of infective epididymo-orchitis with the urine showing the presence of Escherichia coli. Uroflow studies revealed minimal obstruction (Fig. 1) with no residual volume.
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