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* {{cite journal |vauthors=Fong Y, Wantz GE |date=May 1992 |title=Prevention of ischemic orchitis during inguinal hernioplasty |journal=Surgery, Gynecology & Obstetrics |volume=174 |issue=5 |pages=399–402 |pmid=1570618}} * {{cite journal |vauthors=Fong Y, Wantz GE |date=May 1992 |title=Prevention of ischemic orchitis during inguinal hernioplasty |journal=Surgery, Gynecology & Obstetrics |volume=174 |issue=5 |pages=399–402 |pmid=1570618}}
* {{cite journal |vauthors=Beard CM, Benson RC, Kelalis PP, Elveback LR, Kurland LT |date=January 1977 |title=The incidence and outcome of mumps orchitis in Rochester, Minnesota, 1935 to 1974 |journal=Mayo Clinic Proceedings |volume=52 |issue=1 |pages=3–7 |pmid=609284}} * {{cite journal |vauthors=Beard CM, Benson RC, Kelalis PP, Elveback LR, Kurland LT |date=January 1977 |title=The incidence and outcome of mumps orchitis in Rochester, Minnesota, 1935 to 1974 |journal=Mayo Clinic Proceedings |volume=52 |issue=1 |pages=3–7 |pmid=609284}}
* {{cite journal |vauthors=Bigazzi PE, Kosuda LL, Hsu KC, Andres GA |date=February 1976 |title=Immune complex orchitis in vasectomized rabbits |journal=The Journal of Experimental Medicine |volume=143 |issue=2 |pages=382–404 |pmid=129498 |pmc=2190126 |url=http://jem.rupress.org/cgi/pmidlookup?view=long&pmid=129498 |doi=10.1084/jem.143.2.382}} * {{cite journal |vauthors=Bigazzi PE, Kosuda LL, Hsu KC, Andres GA |date=February 1976 |title=Immune complex orchitis in vasectomized rabbits |journal=The Journal of Experimental Medicine |volume=143 |issue=2 |pages=382–404 |pmid=129498 |pmc=2190126 |doi=10.1084/jem.143.2.382}}
* {{cite journal |vauthors=Lynch VP, Eakins D, Morrison E |date=August 1968 |title=Granulomatous orchitis |journal=British Journal of Urology |volume=40 |issue=4 |pages=451–8 |pmid=5678169 |doi=10.1111/j.1464-410X.1968.tb11832.x}} * {{cite journal |vauthors=Lynch VP, Eakins D, Morrison E |date=August 1968 |title=Granulomatous orchitis |journal=British Journal of Urology |volume=40 |issue=4 |pages=451–8 |pmid=5678169 |doi=10.1111/j.1464-410X.1968.tb11832.x}}
* {{cite journal |author=Dreyfuss W |date=April 1954 |title=Acute granulomatous orchiditis |journal=The Journal of Urology |volume=71 |issue=4 |pages=483–7 |pmid=13152871}} * {{cite journal |author=Dreyfuss W |date=April 1954 |title=Acute granulomatous orchiditis |journal=The Journal of Urology |volume=71 |issue=4 |pages=483–7 |pmid=13152871|doi=10.1016/S0022-5347(17)67813-3 }}
* {{cite journal |author=Lambert B |year=1951 |title=The frequency of mumps and of mumps orchitis and the consequences for sexuality and fertility |journal=Acta Genetica et Statistica Medica |volume=2 |issue=Suppl. 1 |pages=1–166 |pmid=15444009}} * {{cite journal |author=Lambert B |year=1951 |title=The frequency of mumps and of mumps orchitis and the consequences for sexuality and fertility |journal=Acta Genetica et Statistica Medica |volume=2 |issue=Suppl. 1 |pages=1–166 |pmid=15444009}}
* {{cite journal |author=Grünberg H |year=1926 |title=Three unusual cases of chronic orchitis clinically resembling tumors of the testis |journal=Frankfurt Z Pathol |volume=33 |pages=217–27}} * {{cite journal |author=Grünberg H |year=1926 |title=Three unusual cases of chronic orchitis clinically resembling tumors of the testis |journal=Frankfurt Z Pathol |volume=33 |pages=217–27}}

Revision as of 09:22, 22 February 2019

Medical condition
Orchitis
Other namesOrchiditis
Pronunciation
SpecialtyUrology

Orchitis is inflammation of the testes. It can also involve swelling, pains and frequent infection, particularly of the epididymis (as in epididymis). The term is from the Ancient Greek ὄρχις meaning "testicle"; same root as orchid.

Signs and symptoms

Symptoms of orchitis are similar to those of testicular torsion. These can include:

Causes

Orchitis can be related to epididymitis infection that has spread to the testicles (then called "epididymo-orchitis"), sometimes caused by the sexually transmitted diseases chlamydia and gonorrhea. It has also been reported in cases of males infected with brucellosis. Orchitis can also be seen during active mumps, particularly in adolescent boys.

Ischemic orchitis may result from damage to the blood vessels of the spermatic cord during inguinal herniorrhaphy, and may in the worst event lead to testicular atrophy.

Diagnosis

Doppler ultrasound of the scrotum, in the axial plane, showing orchitis (as part of epididymo-orchitis) as hypoechogenic and slightly heterogenic left testicular tissue (right in image), with an increased blood flow. There is also swelling of peritesticular tissue.
  • Blood – ESR high
  • Urine – Cultural & Sensitivity test
  • Ultrasound scanning

Treatment

In most cases where orchitis is caused by epididymitis, treatment is an oral antibiotic such as cefalexin or ciprofloxacin until infection clears up. In both causes non-steroidal anti-inflammatory drugs such as naproxen or ibuprofen are recommended to relieve pain. Sometimes stronger pain medications in the opiate category are called for and are frequently prescribed by experienced emergency department physicians.

Other animals

Severe orchitis in rooster

Orchitis is not rare in bulls and rams. It has also been described in roosters.

References

  1. "orchitis" at Dorland's Medical Dictionary
  2. Brucellosis in Humans and Animals World Health Organization Publication number WHO/CDS/EPR/2006.7
  3. Simons MP, Aufenacker T, Bay-Nielsen M, et al. (August 2009). "European Hernia Society guidelines on the treatment of inguinal hernia in adult patients". Hernia. 13 (4): 343–403. doi:10.1007/s10029-009-0529-7. PMC 2719730. PMID 19636493.
  4. Monleon R, Martin MP, John Barnes H (December 2008). "Bacterial orchitis and epididymo-orchitis in broiler breeders". Avian Pathology. 37 (6): 613–7. doi:10.1080/03079450802499134. PMID 19023758.

Further reading

External links

ClassificationD
External resources
Male diseases of the pelvis and genitals
Internal
Testicular
Epididymis
Prostate
Seminal vesicle
External
Penis
Scrotum
Other
Inflammation
Symptoms
Mechanism
Acute
Plasma-derived mediators
Cell-derived mediators
preformed
synthesized on demand
Chronic
Other
Tests
General
Categories: