It called orchitis inflammation of the testicle. This disease in urological practice not uncommon, but it usually does not occur alone, but is the result of complications of common infectious processes occurring in the body.
The most common cause of orchitis is the spread of sexually transmitted infections (STIs) with other organs of the urogenital system in the egg. These pathogens include gonorrhea, trichomonas, chlamydia, mycoplasma, ureaplasma. The second most frequent cause of orchitis - entering the bloodstream infection often causes orchitis is mumps virus, popularly called mumps. In addition to the originator of mumps orchitis can serve the cause and the flu virus, and varicella zoster virus and Streptococcus pneumoniae, and others. In some cases, orchitis results from an autoimmune process, such as rheumatoid arthritis. Also orchitis may occur as a result of injury or testicle as a complication after surgery in the external male genitalia.
Symptoms of orchitis
By the nature of the flow are acute and chronic orchitis orchitis, inflammation usually occurs with one hand, but approximately 10% of cases orchitis symptoms manifested in both testicles.
Acute orchitis has an abrupt onset. The first symptom is a severe orchitis testicular pain, aggravated by movement, egg uniformly increases in size, the skin of the scrotum is stretched over it, it becomes a smooth, hot and congested, touch causes a sharp pain. Acute orchitis accompanied by a general deterioration of the temperature of the body rises to 38 - 40 ° C, joins fever, headaches, and there are muscle pain, weakness. In taking active treatment measures symptoms of orchitis are 7-10 days, if the disease is left untreated, there are three possible ways of development of the process: self-healing may occur within 2-3 weeks, the disease can become chronic or develop an abscess (purulent inflammation) eggs.
Chronic orchitis may result from untreated acute orchitis or be primary chronic, i.e. infectious process occurs as chronic immediately, usually typical for orchitis caused by STIs. In this case, the symptoms of orchitis may be absent, and the disease is detected by chance during examination for infertility, which often results in chronic orchitis. The only symptom of orchitis in its chronic form, are generally minor pain in the testicle, which usually appear at a certain position of the body or a feeling.
The diagnosis of orchitis is placed on the basis of medical history (past illnesses, injuries, etc.), visual inspection of the external genitalia and ultrasound. Great importance is attached to the identification of the causative agent, as it affects the treatment of orchitis, therefore conducted research to identify STIs; also undertake a general analysis of blood and urine tests, carried out with a puncture testicle laboratory study punctate.
Treatment of orchitis
Orchitis Treatment of acute and chronic forms of somewhat different, however, and that in both cases the main event should be directed to cure the underlying disease that caused orchitis.
In acute orchitis assigned percussion course of antibacterial therapy, which used broad-spectrum antibiotics, as required rapid adoption of energetic measures, and there is no possibility to wait for the results of bacterial seeding. Together with them and are appointed by nonsteroidal anti-inflammatory painkillers. The patient is prescribed bed rest, and in the case of motor activity necessary to wear jockstrap - a special brace that supports the egg at a certain position. At sharply expressed painful syndrome spend blockade of the spermatic cord by injecting anesthetics. From eating the period of treatment excluded fatty, fried and spicy foods, and alcohol.
Treatment of chronic orchitis should be consistent and persistent as chronic orchitis is difficult to treatment, but it can cause male infertility. As in the treatment of acute orchitis appointed antibacterials, however, they are carefully selected in accordance with these bacterial studies. Generally, treatment of chronic orchitis requires several different courses of antibiotic therapy drugs in combination with hormonal anti-inflammatory agents. In parallel, physiotherapy techniques are used extensively: UHF-therapy, magnetic therapy, laser therapy, hot compress and warm sitz baths. The same therapeutic measures prescribed for the treatment of acute orchitis in the stage of inflammation subsided, but lower rates. Treatment of chronic orchitis also requires adherence to diet and giving up bad habits.
The most common complication is the development of acute orchitis piotsele - purulent inflammation, leading to melting or eggs, or to the formation of a fistula. Such complications are treated by surgery, for which the egg is opened, washed with antiseptics and drain. In the case of the formation of a fistula is excised and sutured it. If purulent fusion was complete eggs, carried out an operation to remove it - orchiectomy.
Orchitis is a complication of chronic infertility due to a decrease of the secretory function eggs, in some cases, a chronic process can lead to testicular atrophy or hydrocele - hydrocele. Undertreated chronic orchitis leads to other inflammations of the genitourinary system, and as a permanent hotbed of chronic infection to decreased immunity with all its consequences.
Acute orchitis has a more favorable prognosis than chronic, to further men's health. As a rule, when making timely treatment measures, acute orchitis passes unnoticed. Chronic orchitis is treated with great difficulty, it requires perseverance from both the physician and the patient, but sometimes even in the event of a complete cure testicular secretory function can be significantly reduced. Especially dangerous in this sense, bilateral orchitis transferred in childhood and adolescence. As the prevention of disease is important timely as possible early treatment of orchitis.