Patient's question:
A urologist's office for treating orchitis, what should be done about orchitis? I want to ask what are the symptoms of orchitis? My younger cousin went to the hospital for treatment and said he had orchitis, but I don't know what the cause is. Where should one go for orchitis treatment? What are the typical symptoms of orchitis?Doctor's answer:
The most common cause of orchitis is approximately 20% of mumps patients developing secondary neuritis of the testes. It is more common in the later stages of puberty. Macroscopically, the testes are highly swollen and appear purplish-blue. When the testes are incised, due to interstitial reaction and edema, the testes cannot be expelled. Histological examination reveals edema and vascular dilation, with extensive infiltration of inflammatory cells. The seminiferous tubules show varying degrees of degeneration. During the healing phase of orchitis, the testes become smaller and softer. The seminiferous tubules are severely reduced, but the Leydig cells are preserved, so testosterone secretion is not affected. Orchitis is typically caused by bacteria and viruses. The testes themselves rarely experience recurrent bacterial infections.