In fact, many male friends do not care much about their cold testicles, which is very wrong. If it continues for a long time, it will cause many men's diseases, leading to more serious consequences. Many chronic orchitis occur because they are not well cured in the early stages, so if there are abnormal reactions, they should be treated as soon as possible. 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. 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, there is a fluctuating feeling of purulent accumulation upon palpation. 4. Often accompanied by scrotal skin redness and swelling and intrascrotal hydrocele. 6. Children with viral orchitis may sometimes experience parotid gland enlargement and pain. 1. Testicular self-examination Relax the scrotum so that you can feel for lumps and abnormalities. During the examination, stand on both feet and feel for lumps or other abnormalities. Normal testicles are oval in shape, smooth in surface, and of medium hardness. 2. Local inspection After bilateral scrotal masses are detected, benign and malignant lesions can be roughly distinguished. After a testicular tumor is suspected, a local puncture biopsy of the testicular tumor is not suitable because it is more likely to cause tumor metastasis. The nature of the testicular tumor must be confirmed by the pathological report after surgery. 3. Ultrasound examination It can more accurately measure the size and shape of the testicles and whether there is a tumor. Patients with cryptic testicles can understand the development of the testicles and whether they are enlarged or malignant. 4. Blood test If the tumor markers human chorionic gonadotropin (HCG, normal value <5 micrograms/liter) and alpha-fetoprotein (AFP normal value <25 micrograms/liter) are above normal values, further examination should be performed. |
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