What are the reasons for the swelling of one testicle in children, and how is it treated?

Patient's question:

All symptoms: The cause of one-sided testicular swelling in children, about half a month of onset. What is the cause of one-sided testicular swelling in children? How to treat it?

Doctor's answer:

From your description, it cannot be ruled out that conditions such as orchitis and epididymitis may be present. These are often caused by bacterial infection of the testicles. The primary route of infection is retrograde infection, which commonly occurs in patients with lower urinary tract infections, prostatitis, post-urethral surgery, or those with long-term indwelling catheters, leading to epididymitis and orchitis. It can also spread to the testicles through the bloodstream, causing isolated orchitis. The causative pathogens are often Escherichia coli, Proteus, Staphylococcus, Enterococcus, and Pseudomonas aeruginosa, among others.

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