Patient's question:
Three years ago, my testicles were compressed, which led to acute orchitis. After treatment, it was found that one testicle is of normal size, while the affected one is now only one-tenth of its original size. I want to consult if this can cause sexual dysfunction, such as erectile dysfunction? What is the likelihood of it causing impotence?Doctor's answer:
Hello, based on your description, it cannot be ruled out that conditions such as orchitis or epididymitis may be present. These are often caused by bacterial infection of the testicles. The primary route of infection is retrograde infection, commonly occurring 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 hematogenously to the testicles, causing isolated orchitis. The causative bacteria are often Escherichia coli, Proteus, Staphylococcus, Enterococcus, and Pseudomonas aeruginosa, among others.Clinical symptoms typically include unilateral pain radiating to the groin, accompanied by fever, chills, nausea, and vomiting. The scrotal skin may become red and swollen, with the testicles and epididymis swollen and tender. Hydrocele may also be present. Treatment requires selecting medications based on bacterial culture and sensitivity tests, primarily using antibiotics. Additionally, bed rest and scrotal elevation should be recommended to alleviate symptoms. Sexual activity and physical exertion should be avoided. Early cold compresses can help prevent swelling, while later heat compresses may be used to accelerate inflammation resolution.