Acute Orchitis

Aka: Acute Orchitis, Orchitis

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II. Causes

  1. See Epididymitis
  2. Mumps
    1. Orchitis occurs in 20-35% of mumps Parotitis cases
    2. Bilateral in 15% of cases
  3. Rubella
  4. Epididymitis complication
  5. Tuberculosis
  6. Syphilis
  7. Granulomatous Orchitis
    1. Autoimmune response to spermatazoa in older men

III. Symptoms

  1. Sudden onset of Testicular Pain
  2. High fever
  3. Nausea or Vomiting

IV. Signs

  1. Enlarged Testis
  2. Indurated and tender on testicular palpation

V. Labs: Urinalysis

  1. Proteinuria
  2. Hematuria

VI. Management

  1. Relative rest
  2. Scrotal support
  3. Local Ice Therapy
  4. NSAIDs
  5. Specific antimicrobial therapy where indicated
    1. See Epididymitis

VII. Prognosis

  1. Mumps Orchitis confers 4% risk of sterility
  2. Testes may become atrophic
  3. Androgenic function usually maintained

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Related Studies

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