Testicular Infection | Orchitis (Testicle Infection Symptoms)

Orchitis (Testicular Infection)

Description

An infection of the testicle. The disorder is characterized by swelling and pain in the testicles. The most common cause in adolescents and young adults is mumps. Gonorrhea and/or Chlamydia should be considered for those who are sexually active. About two thirds of cases involve only one testicle. Although infertility is uncommon, it is more common when both testicles are involved.

Symptoms

Scrotal swelling, tenderness , heavy feeling in the testicle, fever, discharge from penis, pain with urination (dysuria), pain with intercourse or ejaculation, groin pain, testicle pain aggravated by bowel movement or straining, blood in the semen.

Tests

A history and physical exam will be performed. A urethral culture, and/or urine culture may be performed. A doppler ultrasound or testicular scan (nuclear medicine scan) are sometimes performed to rule out a testicular torsion (twisting of the testicle).

Standard Workup

Ultrasound

Treatment

Antibiotics will be prescribed for bacterial causes, while viral infections are treated symptomatically. If the cause is felt to be gonorrhea or Chlamydia sexual partners must also be treated. Pain medications such as acetaminophen (Tylenol), and nonsteroidal anti-inflammatory medications/NSAIDs (ibuprofen/Motrin or Advil, naproxen/Naprosyn) are also commonly prescribed.