Orchitis – Inflammation of Testicle
The orchitis, also known by orqueíte, is an inflammation in the testicles which can be caused by trauma to the location, torsion of the testis or infection, being more frequently related to the mumps virus. The orchitis may affect only one or the two testicles, and can be classified into acute or chronic according to the progression of the symptoms:
- Orchitis, acute, in that there is feeling of heaviness in the testicles, in addition to pain;
- Orchitis, chronic, which is usually asymptomatic, and can only be felt little discomfort when the testicle is handled.
In addition to the inflammation of the testicles can also be inflammation of the epididymis, which is a small canal that conducts the sperm to the ejaculation, being characterized orquiepididimite.
Symptoms of orchitis
The main symptoms related to inflammation of the testicles are:
- Ejaculation with blood;
- Urine with blood;
- Pain and swelling in the testicles;
- Discomfort when handling the testicles;
- Feeling of weight in the region;
- Sweating testicular;
- Fever and malaise.
When the orchitis is related to the mumps, the symptoms can appear 7 days after the swelling of the face. However, the faster it is identified the orchitis, the greater are the chances of a cure and less likely to be sequelae, such as infertility, for example. So, as soon as they are noticed the symptoms of inflammation in the testicles, it is important to go to the urologist to be carried out the necessary examinations.
The main causes
Inflammation of the testicles can happen due to trauma to the local, testicular torsion, infection by viruses, bacteria, fungi, or parasites, or even by microorganisms transmitted via sexual.
The most common cause of orchitis is infection by the mumps virus, and should be treated as soon as possible, because one of the consequences of this disease is infertility.
The orchitis viral is a complication that can occur when boys with over 10 years of age are infected with the mumps virus. Other viruses that can cause orchitis are: Coxsackie, Echo, Influenza, and the virus of mononucleosis.
In the case of orchitis is viral, the treatment is done with the aim of relieving the symptoms, which can be done through the use of anti-inflammatory medications or painkillers, which must be recommended by the doctor. In addition, it is important to remain at rest, do ice packs in place and elevate the scrotal pouch. If the patient seeks treatment right at the onset of symptoms, the frame can be reversed within a week.
The orchitis bacterial is usually associated with the inflammation of the epididymis and can be caused by bacteria, such as Micobacterium sp., Haemophilus sp., Treponema pallidum. The treatment is done according to the medical advice, being recommended the use of antibiotics according to the bacterial species responsible for the disease.
How is the diagnosis made and the treatment
The diagnosis of orchitis can be done through clinical observation of the symptoms of the disease and is confirmed after the completion of exams such as blood test and ultrasound scrotum, for example. In addition, testing for gonorrhoea and chlamydia can be useful to check if these can be the cause of the disease, in addition to helping define the best antibiotic to be used.
The treatment for orchitis includes bed rest and the use of anti-inflammatory medications. The urologist may also indicate the application of cold compresses on the region to lessen the pain and swelling that can take up to 30 days to be resolved. In the case of infection by bacterial, the doctor may recommend the use of antibiotics.
In the case of the most extreme of orchitis, may be recommended by the urologist surgical removal of the testicles.
Orchitis be cured?
The orchitis is curable and usually does not leave any sequel when the treatment is done correctly. However, some of the possible sequelae that can occur are the atrophy of the testes, the formation of abscesses, and infertility when the 2 testicles are affected.