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Home Disease Index Orchitis

ORCHITIS

Overview

Cause
Symptoms
Therapy
Risk Factor

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What is orchitis?

 


Orchitis is an inflammation of one or both of the testicles, often caused by infection.



What cause orchitis?

 


Orchitis may be caused by numerous bacterial and viral organisms. It is usually a consequence of epididymitis, which is inflammation of the epididymis (the tube which connects the vas deferens and the testicle.

The most common viral cause of orchitis is mumps. Approximately 30 % of patients who have mumps will develop orchitis during the course of the illness. It is most common in boys past puberty, rare before the age of 10. It usually manifests 4 to 6 days after the onset of mumps. In one-third of boys who get orchitis caused by mumps, testicular atrophy (shrinking of the testicles) will result.

For the bacterial causes, please refer to the epididymitis article. Of note, brucellosis is a rare disease in which orchitis develops in 2 to 20% of men with the disease.



What symptoms orchitis?

 


Scrotal swelling
Tender, swollen, heavy feeling in the testicle
Tender, swollen groin area on affected side
Fever
Discharge from penis
Pain with urination (dysuria)
Pain with intercourse or ejaculation
Groin pain
Testicle pain aggravated by bowel movement or straining
Blood in the semen.



Risk Factor

 


Risk factors for non-sexually-transmitted orchitis include:
Inadequate immunization against mumps
Older age (age greater than 45)
Recurrent urinary tract infections
Congenital abnormalities of the urinary tract
Genito-urinary surgery and instrumentation
Chronic indwelling urethral (Foley) catheter.

Risk factors for sexually-transmitted orchitis include:
Multiple sexual partners
Other high risk sexual behaviors.
History of a sexual partner with a previously diagnosed STD
Personal history of gonorrhea or other STD.

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