Patient's question:
Yesterday, I suddenly felt my body temperature was a bit high, feeling hot, and then had severe pain in the testicles. The pain was so intense that I felt nauseous and almost vomited. When I carefully examined the area between my legs, I noticed some swelling in the testicles, and pressing lightly caused pain. I went to the hospital for a thorough check-up, and the doctor said I had orchitis and that it needed immediate treatment.What causes orchitis?
Doctor's answer:
Testicular can recur following urethritis and cystitis. The common pathogens include Escherichia coli, Proteus, Staphylococcus, Streptococcus faecalis, and Pseudomonas aeruginosa. The transmission routes are primarily divided into hematogenous transmission, direct transmission, and lymphatic transmission. Clinical diagnosis primarily manifests as pain radiating to the ipsilateral inguinal region and lower abdomen, accompanied by chills, high fever, and gastrointestinal symptoms. It is also necessary to rule out epididymitis, where the boundaries between the epididymis and testis become unclear, the epididymis becomes hardened, and the vas deferens becomes thickened.