What happens if the testicles become necrotic?

Testicular necrosis will make men lose their original fertility and cause their testicles to become inflammatory and congested. This is mostly due to testicular trauma or tumor diseases. This is the most common type of men's disease and it can cause great pain to men during an attack.

There are many causes of orchitis, such as infection, trauma, and tumors. It is also one of the common diseases in men's outpatient clinics. When patients describe their symptoms, the nature of the pain varies depending on the disease, such as bloating, falling pain, and knife-like pain; the degree of pain also varies, such as dull pain and severe pain. In addition to the pain caused by the testicular disease itself, the epididymis and spermatic cord disease and inflammation in the scrotum often cause testicular pain.

As mentioned above, if a football hits the key part of a man's testicles, the violent blow will cause severe pain in the testicles, and in severe cases, it will cause shock. Other lesions such as the bladder and prostate can also radiate to the scrotum and testicles, causing pain. Therefore, to determine the cause of testicular pain, doctors need to have rich clinical experience, carefully identify, and find the key to the disease.

For orchitis, a large amount of broad-spectrum effective antibiotics should be used intravenously in the early stage to control inflammation in order to reduce the occurrence of purulent orchitis and testicular abscess. Special attention should be paid to acute mumps orchitis, whose bilateral lesions can cause irreversible damage to spermatogenesis and even testicular atrophy, leading to male infertility. Therefore, the andrology experts of Guangzhou Ren'ai Hospital reminded that the key to preventing this disease is that susceptible children under 1 year old can be vaccinated and live attenuated mumps can be used.

There are three basic ways of causing orchitis: self-infection, lymphatic infection, and direct spread through the epididymis.

Orchitis is a common inflammation of the male reproductive system. It can be caused by a variety of pathogenic factors. It can be divided into non-specific, viral, fungal, spirochetal, parasitic, damaging, chemical and other types. The infection route is mostly through the blood and lymphatic vessels, and can also invade the testicles retrogradely through the urethra, seminal vesicle, vas deferens, and epididymis. Clinically, non-specific orchitis and mumps orchitis are common, which is one of the common causes of male infertility. Mumps orchitis is caused by viruses. Orchitis complicated by sexually transmitted diseases such as gonorrhea, non-gonococcal urethritis, and syphilis accounts for about 40-60% of the total incidence and is one of the common complications of male sexually transmitted diseases.

(I) Acute non-specific 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.