Patient's question:
Last week in the morning, I suddenly felt severe lower abdominal and head pain, to the point where I broke into a cold sweat. My testicles also hurt. I went to the hospital for a check-up, and they said it was testicular torsion. I don't know why it happened suddenly. Please ask: What should I do if the testicle is found to be drooping?Doctor's answer:
From your description, it cannot be ruled out that there may be conditions such as orchitis or epididymitis. It is mostly caused by bacterial invasion of the testes, with the transmission route primarily based on retrograde transmission. It often occurs in patients with lower urinary tract infections, prostatitis, post-urethral surgery, and those with long-term indwelling catheters, leading to epididymo-orchitis. It can also spread hematogenously to the testes, resulting in isolated orchitis. The causative pathogens are commonly Escherichia coli, Proteus, Staphylococcus, Enterococcus, and Pseudomonas aeruginosa. Clinical symptoms are mostly unilateral pain radiating to the groin, accompanied by fever, chills, nausea, and vomiting. The scrotal skin becomes red and swollen, with the testes and epididymis swollen and tender, which may be accompanied by hydrocele.