Patient's question:
Recently, I've been feeling swelling and tenderness in my testicles. When I press them, I also feel a slight fluctuation sensation, as if there's some pus accumulation. The pain in my testicles makes me wonder if it's testicular inflammation. How is this condition caused?Doctor's answer:
Hello, orchitis is divided into chronic and acute forms:Chronic orchitis presents with chronic swelling, a hard texture, and a smooth surface, with mild tenderness and reduced sensitivity. In some cases, the testicle gradually atrophies, and in severe cases, the testicle may be almost indistinguishable, showing relative enlargement of the epididymis. In most cases, the inflammation spreads from the epididymis to the testicle, making the boundary between the two unclear. Bilateral chronic orchitis often leads to infertility.
Acute: During the acute phase, high fever, chills, and testicular pain radiating to the groin are accompanied by nausea and vomiting. Acute mumps orchitis typically appears 3-4 days after mumps, with fever reaching up to 40°C, often accompanied by dehydration, swelling of the scrotum, testicular enlargement, hydrocele, and significant tenderness. If it is mumps-related, swelling of the parotid glands can also be observed.
If you suspect orchitis, it is recommended to seek medical treatment promptly to avoid delaying the condition.