Orchitis is inflammation of the .
Signs and symptoms
of orchitis are similar to those of testicular torsion. These can include:
Causes
Orchitis can be related to
epididymitis infection that has spread to the
testicles (then called "epididymo-orchitis"), sometimes caused by the sexually transmitted infections chlamydia and
gonorrhea. It has also been reported in cases of males infected with
brucellosis.
[ Brucellosis in Humans and Animals World Health Organization Publication number WHO/CDS/EPR/2006.7 [1]] Orchitis can also be seen during active
mumps, particularly in adolescent boys and girls.
Ischemic orchitis may result from damage to the blood vessels of the spermatic cord during Hernia repair, and may in the worst event lead to testicular atrophy.
Diagnosis
-
Blood – ESR high
-
Urine – Cultural & Sensitivity test
-
Ultrasound scanning
Treatment
In most cases where orchitis is caused by epididymitis, treatment is an oral antibiotic such as
cefalexin or
ciprofloxacin until the infection clears up. In both causes non-steroidal anti-inflammatory drugs such as
naproxen or
ibuprofen are recommended to relieve pain. Sometimes stronger pain medications in the
opiate category are called for and are frequently prescribed by experienced emergency department physicians.
Other animals
Orchitis is not rare in
and
sheep. It has also been described in
.
Further reading
External links
