Patient's question:
I am a male, 28 years old, and have no bad habits. However, I was recently diagnosed with orchitis. Now, I feel constant pain in my testicles, and sometimes I also have high fever. I am really troubled now. Could you please tell me: How is orchitis diagnosed to confirm if I have it?Doctor's answer:
How to diagnose orchitis? We need to first observe the symptoms of orchitis.1) Acute orchitis: More common in middle-aged and young adults and children. Often caused by secondary nerve involvement, urinary system infections, prostatitis, and seminal vesiculitis, as well as prostatectomy. The main symptoms are: sudden onset, high fever, chills, pain in the affected scrotum, tightness, redness, swelling, urgency, frequent urination, significant tenderness, and possible hydrocele.
2) Chronic orchitis: Often results from acute orchitis or presents as chronic from the start. Generally, there are no systemic symptoms, and the testicles gradually swell, forming a lump. There may be mild pain or no pain, and the scrotum remains without redness or heat. It often takes several months to 1–2 years to form an abscess, which may discharge thin pus when it ruptures. Sometimes, it can form a fistula, which is difficult to heal.