Testes

Acute Orchitis

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Acute Orchitis, Orchitis

  • Causes
  1. Mumps
    1. Orchitis occurs in 20-35% of mumps Parotitis cases
    2. Bilateral in 15% of cases
  2. Epididymitis complication
  3. Tuberculosis
  4. Syphilis
  5. Granulomatous Orchitis
    1. Autoimmune response to spermatazoa in older men
  • Symptoms
  1. Sudden onset of Testicular Pain
  2. High fever
  3. Nausea or Vomiting
  • Signs
  1. Enlarged Testis
  2. Indurated and tender on testicular palpation
  • Management
  1. Relative rest
  2. Scrotal support
  3. Local Ice Therapy
  4. NSAIDs
  5. Specific antimicrobial therapy where indicated
  • Prognosis
  1. Mumps Orchitis confers 4% risk of sterility
  2. Testes may become atrophic
  3. Androgenic function usually maintained