- From Wikipedia, the free encyclopedia Orchitis is inflammation of the testes. It can also involve swelling, pains and frequent infection, particularly of the epididymis , as in epididymitis. The term is from the Ancient Greek ὄρχις meaning "testicle"; same root as orchid.
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From Wikipedia, the free encyclopedia Orchitis is inflammation of the testes. It can also involve swelling, pains and frequent infection, particularly of the epididymis, as in epididymitis. The term is from the Ancient Greek ὄρχις meaning "testicle"; same root as orchid.
Orchitis is a condition of testicular pain involving swelling, inflammation and possibly infection. Orchitis can be caused by an autoimmune reaction (autoimmune orchitis) leading to a reduction in fertility. Autoimmune orchitis is rare in humans, compared to anti-sperm antibodies.
- Signs and symptoms
Epididymitis is a medical condition characterized by inflammation of the epididymis, a curved structure at the back of the testicle. Onset of pain is typically over a day or two. The pain may improve with raising the testicle. Other symptoms may include swelling of the testicle, burning with urination, or frequent urination. Inflammation of the testicle is commonly also present. In those who are young and sexually active gonorrhea and chlamydia are frequently the underlying cause. In older males
Those ages 15 to 35 are most commonly affected. The acute form usually develops over the course of several days, with pain and swelling frequently in only one testis, which will hang low in the scrotum. There will often be a recent history of dysuria or urethral discharge. Fever is also a common symptom. In the chronic version, the patient may have painful point tenderness but may or may not have an irregular epididymis upon palpation, though palpation may reveal an indurated epididymis. A scrot
Though urinary tract infections in men are rare, bacterial infection is the most common cause of acute epididymitis. The bacteria in the urethra back-track through the urinary and reproductive structures to the epididymis. In rare circumstances, the infection reaches the epididymis via the bloodstream. In sexually active men, Chlamydia trachomatis is responsible for two-thirds of acute cases, followed by Neisseria gonorrhoeae and E. coli. Particularly among men over age 35 in whom the cause is E
Diagnosis is typically based on symptoms. Conditions that may result in similar symptoms include testicular torsion, inguinal hernia, and testicular cancer. Ultrasound can be useful if the diagnosis is unclear. Epididymitis usually has a gradual onset. Typical findings are redness, warmth and swelling of the scrotum, with tenderness behind the testicle, away from the middle. The cremasteric reflex remains normal. This is a useful sign to distinguish it from testicular torsion. If there is pain r
In both the acute and chronic forms, antibiotics are used if an infection is suspected. The treatment of choice is often azithromycin and cefixime to cover both gonorrhoeae and chlamydia. Fluoroquinolones are no longer recommended due to widespread resistance of gonorrhoeae to this class. Doxycycline may be used as an alternative to azithromycin. In chronic epididymitis, a four- to six-week course of antibiotics may be prescribed to ensure the complete eradication of any possible bacterial cause
Epididymitis makes up 1 in 144 visits for medical care in men 18 to 50 years old or 600,000 cases in males between 18 and 35 in the United States. It occurs primarily in those 16 to 30 years of age and 51 to 70 years. As of 2008 there appears to be an increase in incidences in the United States that parallels an increase in reported cases of chlamydia and gonorrhea.
Inflammation of testis - can be infectious (usually) or non-infectiousInfectiousTesticular tenderness, edemaMay see erythema of overlying scrotumViral orchitisFever, tachycardia
- Clinical Features
- Differential Diagnosis
1. Cellulitis 2. Epididymitis 3. Fournier gangrene 4. Hematocele 5. Hydrocele 6. Indirect inguinal hernia 7. Inguinal lymph node (Lymphadenitis) 8. Orchitis 9. Scrotal abscess 10. Spermatocele 11. Tinea cruris 12. Testicular rupture 13. Testicular torsion 14. Testicular trauma 15. Testicular tumor 16. Torsion of testicular appendage 17. Varicocele
1. Testicular ultrasound 2. Urinalysisand urine culture 3. May also consider GC, Chlamydia cultures
1. Combination of clinical features and results of imaging/UA 2. Ultrasoundmay show inflammation, epididymitis, and rules out active torsion 3. Urinalysispositive for infection in epididymo-orchitisViral orchitis (mumps): supportive care, cold packs, scrotal elevation, analgesia.Bacterial orchitis (epididymo-orchitis):
Orchitis / ˌɔːrˈkaɪtɪs / or orchiditis / ˌɔːrkɪˈdaɪtɪs / (from the Ancient Greek ὄρχις meaning "testicle"; same root as orchid) is inflammation of the testes. It can also involve swelling, heavy pains and frequent infection, and is more rarely known as didymitis (as in epididymis).
From Wikipedia, the free encyclopedia Testicular pain, also known as scrotal pain, occurs when part or all of either one or both testicles hurt. Pain in the scrotum is also often included. Testicular pain may be of sudden onset or of long duration.
- Risk Factors
Orchitis (or-KIE-tis) is an inflammation of one or both testicles. Bacterial or viral infections can cause orchitis, or the cause can be unknown. Orchitis is most often the result of a bacterial infection, such as a sexually transmitted infection (STI). In some cases, the mumps virus can cause orchitis.Bacterial orchitis might be associated with epididymitis — an inflammation of the coiled tube (epididymis) at the back of the testicle that stores and carries sperm. In that case, it's called e...
Orchitis signs and symptoms usually develop suddenly and can include: 1. Swelling in one or both testicles 2. Pain ranging from mild to severe 3. Fever 4. Nausea and vomiting 5. General feeling of unwellness (malaise)The terms \\"testicle pain\\" and \\"groin pain\\" are sometimes used interchangeably. But groin pain occurs in the fold of skin between the thigh and abdomen — not in the testicle. The causes of groin pain are different from the causes of testicle pain.
Orchitis can be caused by a bacterial or viral infection. Sometimes a cause of orchitis can't be determined.
Risk factors for nonsexually transmitted orchitis include: 1. Not being immunized against mumps 2. Having recurring urinary tract infections 3. Having surgery that involves the genitals or urinary tract 4. Being born with an abnormality in the urinary tract Sexual behaviors that can lead to STIs put you at risk of sexually transmitted orchitis. Those behaviors include having: 1. Multiple sexual partners 2. Sex with a partner who has an STI 3. Sex without a condom 4. A personal history of an STI
Complications of orchitis may include: 1. Testicular atrophy. Orchitis can eventually cause the affected testicle to shrink. 2. Scrotal abscess. The infected tissue fills with pus. 3. Infertility. Occasionally, orchitis can cause infertility or inadequate testosterone production (hypogonadism). But these are less likely if orchitis affects only one testicle.
To prevent orchitis: 1. Get immunized against mumps, the most common cause of viral orchitis 2. Practice safe sex, to help protect against STIs that can cause bacterial orchitis
Orchitis is an infection of the testicle, which is rarely isolated, and when in conjunction with the epididymis is called epididymo-orchitis.
Mumps is a viral disease caused by the mumps virus. Initial signs and symptoms often include fever, muscle pain, headache, poor appetite, and feeling generally unwell. This is then usually followed by painful swelling of one or both parotid salivary glands.
- Lifestyle and Home Remedies
- Preparing For Your Appointment
Your doctor is likely to start with your medical history and a physical exam to check for enlarged lymph nodes in your groin and an enlarged testicle on the affected side. Your doctor might also do a rectal examination to check for prostate enlargement or tenderness.Your doctor might recommend: 1. STI screen. If you have discharge from your urethra, a narrow swab is inserted into the end of your penis to obtain a sample of the discharge. The sample is checked in the laboratory for gonorrhea a...
To ease discomfort: 1. Rest in bed 2. Lie down so that your scrotum is elevated 3. Apply cold packs to your scrotum as tolerated 4. Avoid lifting heavy objects
You might be referred to a doctor who specializes in urinary issues (urologist). Here's some information to help you prepare for your appointment.