Patient's question:
Last week in the morning, when I woke up, I suddenly felt severe lower abdominal and head pain, to the point where I broke out in cold sweat. My testicles also hurt a lot. I went to the hospital for a check-up and was told it was testicular torsion. I don't know why it happened suddenly. Please ask: What should be done if a testicle droops?Doctor's answer:
From your description, it cannot be ruled out that conditions such as orchitis and epididymitis may be possible. It is mostly caused by bacterial infection 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 epididymitis and orchitis. It can also spread to the testes through the bloodstream, causing isolated orchitis. The causative pathogens are commonly Escherichia coli, Proteus, Staphylococcus, Enterococcus, and Pseudomonas aeruginosa, among others. 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.