How to diagnose orchitis? Self-diagnosis of orchitis symptoms

Clinical manifestations

1. High fever and chills.

2. Testicular pain, with radiating pain in the scrotum, thigh and groin areas.

3. The diseased testicles are swollen and tender. If purulent, they feel like purulent effusion when touched.

4. Often accompanied by scrotal skin redness and swelling and intrascrotal hydrocele.

5. Children with viral orchitis may sometimes experience parotid gland enlargement and pain.

Categories

1. Chronic nonspecific orchitis

Chronic orchitis is mostly caused by incomplete treatment of non-specific acute orchitis. It can also be caused by fungal, spirochetal, or parasitic infections, such as testicular syphilis. Patients with previous testicular trauma may develop granulomatous orchitis. Local or whole-body radioactive isotope phosphorus irradiation of the testicles can also cause orchitis and damage the testicular tissue.

2. Acute nonspecific orchitis

Acute non-specific orchitis often occurs in patients with urethritis, cystitis, prostatitis, after prostatectomy and with long-term indwelling catheters. The infection spreads to the epididymis through the lymph or vas deferens, causing epididymal orchitis. Common pathogens are E. coli, Proteus, Staphylococcus and Pseudomonas aeruginosa. Bacteria can spread to the testicles through the bloodstream, causing simple orchitis. However, the testicles have rich blood supply and strong resistance to infection, so this situation is relatively rare.

3. Acute mumps orchitis

Mumps is the most common cause of orchitis. About 20% of mumps patients have orchitis, which is more common in late adolescence. The testicles are highly enlarged and purple-blue in color.