Description
An infection of the testicle. The infection causes swelling and pain in the testicles. The most common cause in adolescents and young adults is mumps, which is a virus. When bacteria are the cause of orchitis, the infection usually spreads from the epididymis which is a gland at the back of the testicle. Gonorrhea or Chlamydia are sexually transmitted infections that can cause epidydimo-orchitis. About two thirds of cases involve only one testicle.
Symptoms
Swelling of the scrotum, tenderness , heavy feeling in the testicle, fever, groin pain, testicle pain aggravated by bowel movement or straining.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be performed. A swab from the penis may be sent for culture, and urine may be sent for culture. Ultrasound might be used to check for torsion (twisting of the testicle).
Tests:
Ultrasound
Other Specific Tests: Urethral culture, urine culture, doppler ultrasound, testicular scan (nuclear medicine scan)
Specialists:
Internal Medicine, Urology, Pediatrics, Family Practice
Workup:
A history and physical exam will be performed. A swab from the penis may be sent for culture, and urine may be sent for culture. Ultrasound might be used to check for torsion (twisting of the testicle).
Tests:
Ultrasound
Other Specific Tests: Urethral culture, urine culture, doppler ultrasound, testicular scan (nuclear medicine scan)
Specialists:
Internal Medicine, Urology, Pediatrics, Family Practice
Treatment
Mumps is not treated with antibiotics. Antibiotics will be prescribed for bacterial infections. If the cause is felt to be gonorrhea or Chlamydia sexual partners must also be treated. Pain medications such as acetaminophen (Tylenol), and nonsteroidal anti-inflammatory medications/NSAIDs (ibuprofen/Motrin or Advil, naproxen/Naprosyn) are helpful.