Is orchitis serious?

Patient's question:

Incorrect sitting posture, compression, swelling, and pain, then after taking levofloxacin, the pain subsided. A few days later, discovered that the right testicle had shrunk and had a hardened texture, with prolonged erection.

Doctor's answer:

Hello, orchitis is an inflammatory condition of the testicles caused by various pathogenic factors. It is divided into two types: acute suppurative orchitis and mumps orchitis. The general prognosis is favorable, but in a few cases, it may lead to testicular atrophy and male infertility. The affected testicle becomes diffusely enlarged, but its shape remains flattened and elliptical. During the acute phase, the main symptoms include testicular swelling and tenderness, which may radiate to the groin. If there is a bacterial infection, an abscess may form, accompanied by a fluctuating sensation. Orchitis patients often experience redness and swelling of the scrotal skin. If the orchitis is limited to one side, the patient does not develop erectile dysfunction and will not be affected in future fertility. If it affects both sides, it is necessary to undergo tests to determine sperm motility and quantity to assess infertility. We recommend visiting our Reproductive Infection Department for diagnosis. The Gene Chip Detection System can be used to accurately identify the pathogen causing the infection, enabling targeted treatment.

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