Orchitis

Injury Disease Nutrition Poison Symptoms Surgery Test Special Topic

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Male reproductive anatomy Male reproductive system

Overview Symptoms Treatment Prevention

Orchitis

• Scrotal swelling
• Tender, swollen, heavy feeling in the testicle
• Tender, swollen groin area on affected side
• Fever
• Discharge from penis
• Pain with urination (dysuria)
• Pain with intercourse or ejaculation
• Groin pain
• Testicle pain aggravated by bowel movement or straining
• Blood in the semen

Physical examination may reveal tender and enlarged lymph nodes in the groin (inguinal)area on the affected side. It may also show a tender and enlarged testicle on the affected side. A rectal examination may reveal an enlarged or tender prostate gland.

Testing may include:

• A urinalysis
• Urine culture (clean catch) (the provider may request several specimens, including initial stream, mid-stream, and after prostate massage.)
• Tests to screen for chlamydia and gonorrhea (urethral smear)
• A CBC (complete blood count)
• Doppler ultrasound (to rule out testicular torsion). It also can confirm the diagnosis of orchitis by demonstrating increased blood flow to the region as well as characteristic finding of hypoechogeneic texture. This study can also detect scrotal abcesses.
• Testicular scan (nuclear medicine scan) may also be obtained to rule out torsion and can confirm the diagnosis of orchitis with increased blood flow.

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