Post Date April, 15 2023
There are two testicles in the male scrotum. In addition to the testicles, there are two testicles. The testicles are slender and flat organs, which are tied to the lower end of the spermatic cord together with the testicles. Testis is the only way for sperm and the cradle of sperm development and maturation. Once attacked by infection or disease, epididymitis may occur, which may affect male fertility. Therefore, we must find out what causes epididymitis, so as to reduce the occurrence of male infertility.
Testitis is a common disease in young adults. Every time the body resistance decreases, pathogenic bacteria such as Escherichia coli, Staphylococcus and Streptococcus have the opportunity to enter the vas deferens and retrogradely invade the testis to cause inflammation. It is clinically divided into acute testitis and chronic testitis.
Symptoms of acute epididymitis
Sudden high fever white blood cell elevation, swelling and pain of the affected side scrotum, sinking feeling, lower abdomen and groin pain, aggravated when standing or walking. When the affected side of the testicle is swollen and there is obvious tenderness and inflammation, the testicle and testicle are swollen and the contact between them is unclear, which is called orchitis. The spermatic cord on the affected side becomes thicker and there is tenderness. Generally speaking, the acute symptoms gradually disappear after one week.
Symptoms of chronic orchitis
Chronic orchitis is common. Some patients become chronic due to incomplete cure in the acute phase, but many patients have no clear acute phase. Inflammation usually occurs in chronic prostatitis and injury. Patients often feel pain and swelling of the lateral scrotum. The pain is related to the lower abdomen and the ipsilateral groin, and sometimes can be combined with secondary hydrocele. The epididymis often enlarged and hardened to varying degrees during examination. There is slight tenderness, and the vas deferens on the same side can be thickened.
In general, there are three common causes of orchitis:
① Secondary to prostatitis or urinary tract infection, which is also the most common.
② Sterile urine reflux into the ejaculatory duct leads to chemical epididymitis. Recent studies have found that urine can flow back into the seminal vesicle gland.
③ Prostatectomy, especially transurethral surgery, may carry bacteria in urine for 8 to 12 weeks after operation, and urine will flow back into the ejaculatory duct during urination, causing retrograde infection and epididymitis.
