Orchitis: symptoms and treatment of the affected testicle in men

Orchitis rather unpleasant disease, which can significantly spoil the life of man. The disease is caused by inflammation of the testis, arising as a result of complications of any infectious disease. Orchitis Most often, symptoms appear after such diseases:

• parotitis (Mumps);
• flu;
• scarlet fever;
• pox;
• pneumonia;
• testicular injury.

Especially orchitis often results from suffering prostatitis, urethritis, and epididymitis vezikulita.

In this article we describe in detail all the features and nuances in the treatment of orchitis. What signs of the disease should pay attention in the first place. What can be done without reference to the doctor. What medications can help with the inflammation of the testicle.

Why there is orchitis?

In most cases, the cause of the disease becomes infection, which can penetrate into the egg from the surrounding organs (rectum, bladder, urethra, prostate) and of the centers that are far in pneumonia, bronchitis, tonsillitis. Also causes the disease can be a:

1. Nonspecific infection that can penetrate into the body through the blood vessels, as well as from the urethra, kidney, in deferent ways. This can be:

• bacterial infection (Staphylococcus aureus)
• viruses (herpes, influenza)
• a fungal infection (candida)
• urogenital infections (ureaplasma, chlamydia, mycoplasma).

1. Specific infections: syphilis, gonorrhea, tuberculosis, typhoid.
2. Congestion can develop due to a sedentary lifestyle, varicose veins, various injuries. Also, blood stasis can occur due to frequent interrupted sexual intercourse, sexual abstinence, masturbation and frequent erections without sexual intercourse.
3. Injuries: direct damage to the eggs, the effects of surgery or other manipulation of the medical instruments (catheter administration, for example).

predisposing factors to the development of orchitis:

• a long period of sexual abstinence and sexual excesses (around the need to know when to stop)
• lower overall protective forces of the organism as a result of transferring or existing diseases (diabetes, hepatitis, AIDS),
• hypothermia,
• chronic foci of infection (tonsillitis, bronchitis, sinusitis)
• diseases of the urogenital system (pyelonephritis, prostatitis, epididymitis)
• BPH, Narrowing of the urethra, which provoke hindered the flow of urine.

What are the symptoms of disease?

Acute and chronic forms of orchitis are manifested in different ways:

Characteristic	The acute form	The chronic form
duration of illness	Month - half	At least six months
Testicle	Organ increased in size, pain on palpation, tense.	Slightly increased, pain is negligible.
Pain syndrome	Pain intensity can be given in the groin, lower back and sacrum. Testicle pain even at rest.	Pain occurs after exercise, over-voltage, exposure to cold and dormant dull or even disappears.
The symptoms of intoxication of the organism	The patient suffers from headaches, weakness, body temperature may rise to 39-40 ° C.	Body temperature rarely rises or rises slightly, the overall state of the man is not broken.
complications	It increases the risk of septic complications.	Violated the basic functions of the testicle, which often leads to infertility.

Symptoms of the acute form of orchitis pronounced as impaired general condition of the patient, he feels weak, scrotal pain, chills. It is important at this stage to see a doctor, as signs of the disease may subside on their own over time. Patients often mistakenly believe that the disease has passed, in fact orchitis smoothly passed into the chronic stage, which is difficult to treat.

The acute form

Characterized by violent symptoms, time lasts from two weeks to a month.

• In acute orchitis disease begins with pain and swelling eggs, which are growing fast enough.
• Testicle palpation, becomes dense, becomes acutely painful and cyanotic shade, grows in size.
• Fluctuation may appear purulent (pus pockets).
• There are common symptoms of inflammation - the body temperature rises to 38-39 degrees, growing headache, weakness, sweating.
• Orchitis is often accompanied by inflammation of the epididymis - epididymitis, where there is also swelling and tenderness.

Development of acute orchitis is possible in three ways:

1. The process after 2-4 weeks becomes chronic sluggish.
2. Developing abscesses (pus formation cavities).
3. There is a regression of inflammation with full recovery (with proper treatment).

Chronic forms

Lasts more than a month, it proceeds more smoothly, periodically recur and responds poorly to treatment. In chronic orchitis symptoms are expressed very poorly. Often the only manifestation may be a mild pain in the testicle palpation, walking, or running.

DIAGNOSTIC FEATURES

1. General blood analysis It makes it possible to determine the severity of orchitis, and the degree of inflammation in the testis. Results: The bacterial infection elevated white blood cell count, erythrocyte sedimentation rate increased rate; when viral infection elevated levels of lymphocytes; if inflammation provoked allergic reactions, laboratory detects an increased concentration of eosinophils in the blood.
2. General urine analysis It allows you to confirm the presence of an inflammatory process, identify its nature and severity. In most cases, a urine test helps detect the presence of infection in nearby organs that trigger the development of orchitis.
3. Through butnalysisbut semen Specialist determines the ability of sperm to fertilize, and can also detect the presence of pathogenic microorganisms.
4. Smear from the urethra It helps to identify the causative agent.
5. Urine culture not only to determine the causative agent of the inflammatory process, but also gives the opportunity to choose an effective anti-microbial.
6. MRI most accurately determines the stage of orchitis, allows to evaluate the nature of the inflammatory process in detail, as well as the size, the shape of the eggs and the presence of a purulent infection foci.
7. ultrasound - fast and informative diagnostic method that determines the prevalence of the inflammatory process, identifies lesions and the presence of liquid. With the help of ultrasound the doctor assesses the size, the shape of the eggs.

What is the treatment of orchitis in men?

It is crucial to consult a specialist and start treatment as well as acute orchitis in the absence of a competent therapy gradually becomes chronic. Conservative treatment orchitis passes the following scheme:

1. Taking antibiotics can eliminate the root cause of the disease - a bacterial infection. Often specialists prescribe broad-spectrum antibiotics, but treatment is more effective, if the drug is discharged after bacteriological tests for susceptibility to infection antibiotics. Most often used for the treatment of orchitis following antibiotics:

• Macrolides: macrofoams, sumamed, erythromycin,
• cephalosporins: cefepime, cefuroxime,
• fluoroquinolones: ofloxacin, ciprofloxacin,
• trimethoprim with sulfonamides,
• tetracyclines, doxycycline, methacycline,
• nitrofurans: furagin.

Drug treatment of orchitis - a basis of therapy, it is important to take drugs strictly on prescription, and in any case not to change the dosage.

1. Anti-inflammatory drugs can stop the inflammatory process in the tissues of the testicle (ibuprofen, diclofenac).
2. Orchitis testicular accompanied by severe pain. It helps ease the condition analgesics: analgin, ketoprofen.
3. In the treatment of acute orchitis is very important to comply with bed rest in the first few days of therapy, and use special sling that supports normal blood circulation in the testis and protects it from external irritation.
4. In the complex treatment of acute and chronic orchitis often used helper methods: UHF, electrotherapy, reflexology, mud baths, therapeutic exercise.

conservative method

A conservative approach would presuppose antibiotic therapyIf the cause of the infection was the orchitis. For this purpose, apply broad-spectrum drugs (eg, Summamed, methacycline, Furagin, Cefepime, Erythromycin and etc.). It is important that the drug could specifically affect certain microorganisms.

If chronic orchitis was originally triggered by inflammatory processes, patient appointed physiotherapy and anti-inflammatory drugs (Ibuprofen, Indomethacin).

In order to achieve an analgesic effect in patients with severe pain for the doctor will prescribe additional analgesic drugs (Ketorolac, ketoprofen etc.).

To improve circulation, you may need special bandageWhich will support the scrotum. It would reduce congestion. Extras can be recommended mineral and mud baths, electrotherapy and reflexology.

The necessary operations?

If conservative treatment does not produce results, the operation is performed. indications for surgery are also:

• purulent process in the tissues of the testis has provoked the development of an abscess,
• orchitis is the result of trauma,
• chronic form of the disease with frequent exacerbations
• for acute severe orchitis in violation of the general condition of the patient,
• orchitis as a result of tuberculosis,
• presence of seals in a testicle that did not dissolve.

There are several types of surgery in the treatment of orchitis in men:

Type of transaction	Features
Resection (removal of a portion testis)	· The operation allows to maintain the basic functions of the authority. · Performed under local anesthesia, the doctor selectively removes the damaged parts of tissues. · Inefficient method, because often there are relapses and complications arise.
The puncture of the scrotum	· Quickly reduces the pressure in the scrotum, effectively eliminates the pain. · Used local anesthesia, after which the doctor punctures the needle puncture the scrotum.
Orchiectomy - the removal of the testis and epididymis	· In cases of severe purulent processes orchiectomy it is a vital operation. · Eliminates the center of the inflammatory process and prevents spread of infection to nearby tissue and organs. · becomes infertile, disturbed sexual development At a bilateral orchiectomy man hormones.
nadsechek method	· The method can detect and remove the festering pockets. · The doctor will put a large number of nadsechek on the surface of the testicle under local anesthesia.

Where in Moscow it is possible to carry out complex treatment of acute and chronic orchitis? These services provide the following clinics:

1. "Best Clinic".
2. "Doctor to be a hundred."
3. "Clinic at the Belarusian."
4. Clinic "Lama".
5. «Elit Clinic»

Complications testicular infection

Because the Symptoms of acute orchitis in some cases disappear on their own, the patient may mistakenly assume full recovery. In fact, the infection will not go away and pathology development continues in a latent form, resulting in the following complications may occur:

• Testicular atrophy;
• decreased libido;
• infertility;
• violation of erectile function;
• reactive hydrocele;
• accumulation of pus in the testicle;
• second testicular infection;
• other diseases of the genitourinary infectious nature of the system.

epididymitis. Orchitis can trigger the development of inflammation in the epididymis, whereby epididymitis occurs, during which has its own characteristics and requires no treatment other than therapy orchitis.

abstsedirovanie. Accession first secondary infection is a complication in which the formation of purulent focus.

testicular atrophy. Despite the fact that the pathological processes in inflammation of the testis have a long and severe course, abscess yet amenable to therapy and male sexual functions remain. However, the development of atrophy leads to depletion of the parenchyma. As a result, the production is disturbed sperm and sex hormones. In addition, the reduction in blood levels of male sex hormones have a negative impact on the cardiovascular system.

disease prevention

Avoid hypothermia, exhaustion, overheating, and other conditions conducive to the reduction of general and local body's defenses. Contributing factors to the development of orchitis is as long-term abstinence, and excesses in the sexual life, so know the measure and use contraceptives.

Protect groin injury, playing sports, because sedentary and inactive lifestyle provokes the development of stagnation in the genitals. Avoid orchitis will help you do the following recommendations:

• timely treat diseases of the genitourinary system by a specialist and not self-medicate,
• note: regular sexual partner, and regular sex life - the key to men's health,
• organize a proper diet and exercise,
• take care of the crotch area of ​​the injury,
• possible to dispose the permanent foci of infection (chronic tonsillitis, for example).

orchitis treatment at home

It should be forewarned that treatment orchitis folk remedies permissible only in the complex "traditional" medicine. You should also consult with your healthcare professional.

Well when orchitis helps compress flax seed:

• 100 g of flax seed wrapped in a pouch,
• dipped in hot water for 10 minutes,
• then cool down and attach to the sore spot.
• Repeat until full recovery.

Inflammation helps to remove the flower hops ordinary. For this purpose 100 grams of flowers pour 2 cups of boiling water and leave for 30 minutes. The resulting infusion drain, cool and take 3 times a day for half a glass.

Chamomile also promotes healing. 3 tablespoons minced dried camomile, sugar and 1 liter of boiling water and infuse 2 hour. The resulting infusion of filtered, add 80 grams of honey. Drink the resulting drug 3 times a day for 1 month.

Orchitis in children

Orchitis may also occur in boys. Orchitis in children is not harmful to health, if the time to see a doctor and begin treatment. The disease manifests itself in the child following symptoms:

• testicular pain, the body is red and can grow in size,
• frequent urination, which is accompanied by pain,
• fever, vomiting,
• may appear discharge from the urethra.

What are the causes of orchitis in children? The emergence of the disease may contribute to viral infection, perineal trauma, congenital pathology structure genital candidiasis.

At the first alarming symptoms the child should immediately show the urologist as running orchitis threatens the boy in future infertility.

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pathology development

There are several factors which influence doctors directly associated with the appearance of inflammation in testicular cavity. So, the cause of orchitis may include:

1. Diseases caused by infection. Orchitis is often a complication of flu, brucellosis, typhoid fever, rheumatic fever, mumps (mumps), inflammation of the lungs. Pathogens penetrate the egg with blood flow.
2. Inflammation that develops in the urogenital region. Pathological process in the testis begins with urethritis, vesicles, prostate inflammation, epididymitis.
3. Newborn orchitis occurs after infection with testicular pathogens that cause inflammation of the umbilical vessels.
4. In young boys and teenagers such pathology testicle almost always develops as a consequence of the pig.
5. Sometimes orchitis appears due to mechanical damage eggs: pathogens enter the body from the outside as a result of prolonged presence of the catheter in the urethra of the bladder.

According to the intensity of the flow orchitis is divided into acute and chronic. The acute form develops on the basis of acute inflammation, chronic - against chronic disease.

How to identify a pathology

The affected testicle can be determined at once - it has increased in size. The inflammatory process is accompanied by severe pain in the scrotum and a sharp increase in body temperature to 38 - 39 ° C, chill.

• With appropriate treatment orchitis from the disease can be eliminated in 1-2 weeks, but not immediately detection of disease is sometimes exacerbated by purulent and atrophic phenomena that significantly slow down the process recovery.
• If purulent inflammation, all signs of intoxication: reddened scrotum becomes hot to the touch, the affected testicle hurts even more, the body temperature at the same time is very high.
• In rare cases there is pus degradation of all body tissues, because the skin of the scrotum tight balls.
• Launched pathology leads to the withering away (atrophy) eggs.
• But in the case of mumps (mumps) complication of orchitis, which may appear on 3-10 day after the onset of the disease, develop with the defeat of the two testicles and often lead to a bilateral atrophy.
• If the inflammation affects the epididymis, talk about orchiepididymitis.

However, doctors usually do not consider orchitis and epididymitis independent diseases, as epididymitis may also be complicated by orchitis. All inflammatory processes in the scrotum to classify both orchiepididymitis.

Depending on the features of the development and course of inflammation distinguishes acute and chronic orchitis. Chronic orchitis appears mainly on the background of a prolonged and ineffective treatment of acute epididymitis. Symptoms include: egg becomes more dense to the touch, the natural process of formation of spermatozoa broken. In some cases, the disease ends with atrophy of the affected organ.

In most cases, the boys get sick orchitis on the basis of mumps infection when paramyxovirus affects egg, getting there with blood. Diseased organ becomes larger (in size can be compared to a goose egg), the scrotum is very painful, fever begins. These symptoms occur about 5-7 days. As a result, the pain subside, the temperature returns to normal and the affected testicle reduced to its former dimensions. About 50% of cases this ends orchitis testicular atrophy, which is found in a few months recovering from illness.

The table shows the key features of testicular orchitis in both stages of its manifestations:

form of the disease	The symptoms of this form	Possible risks and complications if left untreated orchitis
acute orchitis	The sharp increase in body temperature (to 38-39 ° C); acute pain in the testicles associated with stretching it tunica albuginea where the nerve endings are located; pain radiating to the groin, waist, back, abdomen; increase in the intensity of pain during movement; increase in redness and eggs - a sign, which most often has Orchitis; symptoms may also be common: malaise, headache, nausea, severe fatigue, chills; It lasts about 6 weeks maximum;	This form of the disease makes itself felt severe symptoms within 2-3 weeks, and then gradually becomes chronic orchitis. Pain is already the second week are not as intense as in the early days of symptoms of the disease, so the patient may seem that the disease is passed independently. In fact, acute orchitis should be treated immediately at the first signs as chronic form can lead to abscesses, microabscesses and even infertility in the future.
chronic orchitis	Pain syndrome, wherein the weak intensity having a periodic character aching; increase in the intensity of pain during movement, sports, as well as the body overcooling; testicular induration; increase in organ size; soreness when touched; fever (orchitis rarely has such a symptom in this form, usually the temperature does not exceed 38 ° C); It lasts about 6 months maximum.	If the patient did not pay attention to orchitis, treatment was not timely, and the disease is transferred from the acute to the chronic form, there are significant risks of serious complications. It is a violation of the secretory functions of the authority, which becomes the cause of the deviation. If orchitis testicular has become a cause of male infertility cure this complication would be virtually impossible.

Diagnosis of testicular orchitis

At diagnosis doctor first examines the history of the patient for the presence of infectious diseases, which can be the cause of orchitis.

Equally important is the objective study, during which establishes the following disease indices:

• scrotal skin is tensioned;
• scrotum is not swollen, as is the case with acute epididymitis;
• the size of the epididymis are normal;
• spermatic cord edema and increased slightly in size, the vas deferens in order infiltrate in him.

If you suspect that the development of an abscess make puncture testicle for the purulent infiltration and carried ultrasound scanning procedure, which may indicate depression organ tissue liquid. If, for one reason or another, the differential diagnosis is difficult, the situation is allowed by ultrasound and biopsy of the affected testicle.

Remedy disease

During the illness is recommended bed rest, the testes should be raised (this is achieved by means of heats).

If development was not possible to avoid suppurative inflammation, get rid of the disease by surgery.

Treatment of mumps inflammation

In principle, virtually regimen of mumps orchitis is different from the one followed for the elimination of the classic the type of disease: the same respect for bed rest, an elevated position of the patient's body, and receive antibiotics drugs.

• However, due to the fact that on the basis of orchitis mumps often transformed into epididymitis with obstruction paranasal ducts that threatens infertility drug therapy of this disease still has its features.
• To prevent complications to the patient make an injection of prednisolone (40 mg / day) in order to reduce inflammation and swelling.
• Because of the harmful effects of orchitis complications for the ability to have children in the future, all boys between the ages of 1 year, 3 months to 7 years is a live mumps vaccine.
• It definitely needs to be done if the child communicated with a person ill with mumps.

chronic forms of the disease Treatment

Fighting chronic orchitis is a long reception of antibiotics and anti-inflammatory drugs. A good result is also given physiotherapy and applied topically thermal procedures. When the disease that is difficult to be corrected, the doctor may decide that surgery with unilateral removal of a testicle.

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Treatment of folk remedies

MirSovetov recalls: before using the popular recipes, you need to find out what he thinks about the doctor!

• 100 g of dried hops flower ordinary pour 2 cups of boiling water and insist drink within 30 minutes. Then filter and drink 0.5 cups 2-3 times a day. beverage can be sweetened 1 hour if desired. l. honey.
• 100 g of linseed, wrapped in gauze bag, should be dipped in hot water for 10-15 minutes. After expiration of the time the pouch is removed from the water, wait until it cools and then is applied to the affected testicle.
• In equal proportions mixed cranberry leaves, elder flowers, chamomile flowers, St. John's wort grass and poplar buds. 5 Art. l. collecting poured 0.5 liters of boiling water and soaked in a thermos about 6 hours. Healing infusion to drink 0.5 cups a day for 2-3 weeks.

recipes

Recipe 1. Broth made from flax roots.

• One tablespoon finely ground raw material to pour 250 ml of boiling water, and then stand on low heat for twenty minutes.
• Next, remove the broth from the heat, and then insist for at least half an hour and strain.
• Take fifty milliliters before meals three or four times a day.

recipe 2.grass rue

• Freshly chopped herbs rue carefully to mix with crushed to a state of powder bay leaf.
• Prepare medicinal dressings, this mixture was put on a cotton cloth evenly, and apply as a compress on the scrotum.

Recipe 3. Dough from bean flour

• Bean flour carefully mixed with vinegar to test status.
• Prepare medicinal dressings, this mixture was put on a cotton cloth evenly, and apply as a compress on the scrotum.

Recipe 4.Larkspur

• larkspur seeds effectively resolves testicular tumor.
• You need to take at least three times a day for three seeds.

recipe 5. horsetail

Freshly horsetail herb to grind, to prepare medicinal dressings, this mixture was put on a cotton cloth evenly, and apply as a compress on the scrotum.

Recipe 6.Honey wraps

• It needs to mix in a fairly equal proportions of honey, wine, and even aloe vera pulp.
• Again, make medicinal bandage on the scrotum.

recipe 7. herbal

Prepare the collection, consisting of the following plants: herb St. John's wort, cranberries leaves, chamomile blossoms, flowers elderberry, black poplar buds.

• During the period of exacerbation need five tablespoons of crushed (you can in a coffee grinder) collection pour into a thermos and pour half a liter of boiling water, leave for the night.
• Further strain.
• Take an exacerbation of one glass at least five times a day for two or three weeks.
• Next to the complete cure of the infusion prepared from 2 tablespoons, as described above, and take it as five times daily.
• In parallel, it is recommended to make compresses of linseed.
• The whole course of treatment should be three months.
• Then followed by a break for two weeks.
• Next, it will be possible to continue to be treated in any other way.

In order to be able to improve the curative effect and also improve the taste is better suited for infusion cooked honey.

recipe 8. Compresses wiki

Fresh grass wiki, thoroughly crushed by a meat grinder, to prepare a medicinal bandages for this mixture was put on a cotton cloth evenly, and apply as a compress on scrotum.

Recipe 9.Traditional recipes for preparing special candles from propolis:

• It should take 2 or 3 grams of royal jelly, five grams of crushed propolis.
• In enamelware melted cocoa butter or inner tallow (mutton).
• When the oil or fat is completely melted, add to it already cooked royal jelly, propolis and crushed.
• Then carefully stir the mixture until the time until it thickens to the consistency of the dough.

Next, take half or full teaspoon of this mixture, roll and tube in form candles, one end of which is slightly rounded, pack these candles in a special film and store them in refrigerator.

Every day before going to bed will need to enter this candle in the anus, before it dipped slightly in rosehip oil or in olive oil.

recipe 10.And again propolis

The good effect is obtained if you apply on the sore spot of the propolis special lotion, before this carefully mixing it with cocoa butter, milk or linseed oil.

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types of orchitis

Depending on the duration of the process are the following types of orchitis:

• acute and chronic

The occurrence of acute orchitis possible for 2-4 weeks, and chronic - more than a month.

• multiply occurring (or relapsing orchitis)

Thus the development of the disease occurs after a certain time after the treatment.

Depending on the type of pathogen release:

• orchitis specific infectious (bacterial or viral)
• nonspecific infection (gonorrheal, tuberculous or trihomonozny orchitis)

In addition, orchitis is granulematoznym, kognestivnym or stagnant, and arising from injury obtaining eggs.

The causes of testicular inflammation (orchitis)

Development of orchitis possible after infectious diseases, such as influenza, mumps, brucellosis, pneumonia, etc. But these infections are not the most common cause of inflammation in the testicle men. In most cases the beginning of inflammatory processes in the testes occurs against diseases of the genitourinary system, for example, urethritis, prostatitis, vesiculitis, epididymitis.

• Testicular inflammation happens in newborns, due to hit the infection in the testicle of umbilical vessels.
• In older children the emergence of orchitis may contribute to mumps.
• At the heart of men testicular inflammation development mechanism is the production of specific antibodies in the blood as a result of the transfer of the primary infection.
• These antibodies testicular tissue is perceived as foreign, causing inflammation of the parenchyma of the testicle.

Often inflammation of the testicles in males takes place on the background of the injury, which resulted in the possible penetration of infection from the environment to human tissue. Testicular tissue damage is possible due to the development of severe allergic reactions.

Maybe just a bruise?

The clinical picture of testicular inflammation manifested by local and general symptoms.

local signs

Symptoms of orchitis are growing very quickly, and after only a few hours from the onset of the disease may occur cyanotic color and appearance of acute scrotal pain bursting.

If at this stage of the disease the man will not be provided to qualified medical care, the possible occurrence of testicular abscess, which is characterized by the formation of a purulent focus in his parenchyma.

Common symptoms

Common symptoms orchitis include:

• the appearance of weakness,
• fatigue,
• substantial increase in body temperature,
• poor appetite,
• loss of body weight.

It should be borne in mind that the treatment of orchitis - not an easy process, and therefore when a local minimum symptoms should consult a urologist who may be assessed the situation and has correct treatment.

How to find a disease doctors

The basis is the use of diagnostic orchitis laboratory studies and ultrasound.

ultrasound of the scrotum

In order to confirm the diagnosis of orchitis, provided the use of ultrasound of the scrotum, with the help of which is defined quite clearly not only directly the pathological process in the testis, but is defined by its stage. Among other diagnostics that can be used during the identification of orchitis, highlighted methods aimed at to identify the root cause of the disease.

Analysis of blood and urine

In the event of inflammation of the testicles in male blood count provides execution and urinalysis. They can be used to determine the presence of inflammation in the body.

Bakposev urine and semen

In addition, it is advisable to conduct bacterial inoculation test urine and ejaculate on nutrient media, making possible identification of the causative agent. If we manage to isolate the bacteria from the body, be sure to hold its crop on sensitivity to antibiotics. Thus, the opportunity to determine the drug with which it is best to treat a particular disease.

Remedy

Because orchitis often occurs due to bacterial infection, the treatment of inflammation of the testicles, especially, should be directed precisely on the identification and elimination of this factor. antimicrobials, which include antibiotics, cephalosporin (cefotaxime) and fluoroquinolones (ciprofloxacin, levofloxacin) used for the treatment of orchitis. These antibiotics have a broad spectrum of action.

• Appointment symptomatic treatment of orchitis advisable to lower the body temperature, eliminate pain and improve sperm outflow.
• To remove elevated temperature requires the use of nonsteroidal anti-inflammatory drugs, which include paracetamol.
• To eliminate pain and improve sperm outflow, it recommended the use of antispasmodic mixtures that include spazmalgon, baralgin and other drugs.

Operation

If for a long time does not begin orchitis treated with medication, an inflammation in the testicular parenchyma can acquire a purulent character. In this case, it is important to spend time surgical intervention to prevent the spread of the bloodstream.

Typically, at this stage, the shell eggs are dissected and eliminated purulent content. If hit by a large part of the parenchymal organ, then its removal is provided, which has an extremely poor prognosis for the patient.

The methods of our ancestors

orchitis treatment at home can be quite effective in combination with complex therapy if the disease has a mild form. Traditional methods of treatment of orchitis suggest the use of medicinal sources inside and externally.

decoction of herbs

For the treatment of orchitis, you can prepare a decoction of flax seed, for which 1 tablespoon crushed flax roots pour 1 tbsp. hot water and aged for 20 minutes on low heat. Then broth should let stand for 30 minutes and filter. Eat 4 times a day before meals 50 ml.

herbal

To prepare the herbal tea, with which it is possible treatment of orchitis traditional methods, it is necessary take the herb St. John's wort, black elder flowers and daisies, black poplar buds, lingonberry leaves in equal quantities.

• Herbal mixture was pre-grind, 5 tablespoons to sleep in a thermos, then add 0.5 liters of boiling water and left overnight to infuse.
• In the morning drain.
• Infusion taken during acute orchitis 1 tbsp. 5 times a day for 3 weeks.
• After that, preparing the same infusion, 2 tbsp the collection is poured into a thermos and poured 0.2 liters of boiling water and left to infuse overnight.
• This infusion was adopted 1 tbsp. 5 times a day until complete recovery. The infusion is desirable to combine with compresses.

propolis ointment

The affected area can additionally be applied from propolis ointment, which is taken for the preparation of crushed grass burdock, sorrel horse, Air marsh, Berberis vulgaris, elfwort, dandelion, couch grass, chicory in equal quantities.

• The composition is well mixed and ground into a powder and then sieved through a sieve.
• Then should take 120 g of propolis and evaporated to 100 g to get rid of excess wax.
• Add thereto 3.5 g of grass collection and 3 g of dry royal jelly, while it is still warm.
• Royal jelly can be replaced by a granular preparation Apilak.
• All is mixed so that the mass has turned into a firm dough.
• bar of dough is formed and is removed in the freezer for 5 hours instead of with a knife and the cutting board, whereby the tool will be cooked more easily finely cut.
• Then taken 500 g of poultry fat, which can be replaced with boric ointment or petroleum jelly, and heated in a porcelain dish on a steam bath until a semi-liquid mass.
• Bar mixture is removed from the freezer and planed in a bowl with a fat is mixed until a homogeneous mass.
• Ointment of propolis should be stored in a cool dry place.
• Cooked cream is suitable for use within 3 years.

To use it, you need to apply a thin layer of ointment on the inflamed testicle or all of the genitalia and leave at 6:00, the excess tissue removed. Due to such ointment relieves inflammation and pain, restores the function of the affected organs and glands.

It is characterized by the possession of wound-healing, anti-inflammatory, antiseptic, anesthetic, reducing and antitoxic effect.

complications of orchitis

epididymitis

Furthermore, in inflammation of the testicle may spread pathological process epididymis, whereby there is a possibility of epididymitis, which has its own characteristics, and when the need arises otherwise treatment. Therefore, during the orchitis is important that the definition of a fine line when it goes into epididymitis.

abstsedirovanie

If you ignore the first signs of testicular orchitis in place, the formation of suppurative focus that represents the first complication of the disease, referred to as abscess formation (accession secondary infection).

testicular atrophy

• Despite the occurrence of serious pathological processes that occur in the human body at the time of orchitis, testicular abscess can be treated with preservation of sexual function.
• But in the case of atrophy, depletion of the parenchyma, thus it is not produced the required number of sex hormones and sperm.
• In addition, when testicular atrophy may advance reproductive dysfunction, and decreased blood levels of sex hormones have a negative impact on the cardiovascular system.

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Etiology

Infection - the main cause of orchitis. Germs enter the egg through hematogenous or lymphogenous from nearby organs: prostate, the urethra, bladder, and even from the distant foci in diseases of the respiratory system.

In newborns infected testicle due to the penetration of germs from inflamed umbilical wound.

• Nonspecific infection - E. coli, streptococcus, tsitrobakter.
• Viral infection - influenza, parainfluenza, herpes. A third of men suffering from orchitis, ill with mumps. In children, the virus causes inflammation of the testicle are chicken pox, measles, acute respiratory viral infection, cytomegalovirus. Viruses acutely damage the glandular tissue of the affected testicle off progeny reproduction function.
• Fungal infection - candidiasis.
• Diseases, sexually transmitted diseases - mycoplasmosis, ureaplasmosis, chlamydia, trichomoniasis, syphilis, gonorrhea. Gonokokki support inflammation and contribute to the development of infertility.
• Specific infection - fever, tuberculosis and brucellosis.

traumatic injury testicle or scrotum.

congestion arise as a result of dyscirculatory changes or violations of the outflow of semen.

systemic disease - vasculitis, sarcoidosis, rheumatoid arthritis.

Among the factors contributing orchitis, distinguished: a portion of subcooled, reduced immunity, chronic diseases of internal organs, endocrinopathies, stress, prostatitis, pyelonephritis, long-term catheterization.

Bacterial orchitis often develops on the background of epididymitis - inflammation of the epididymis, which is synthesized and accumulated semen.

Epididymitis manifests similar symptoms and requires antibiotic treatment.

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Causes

Disease "orchitis" can have different origins:

• development against the background of other diseases of the genitourinary system;
• injury to damage the integrity of the skins.

symptoms of orchitis

Acute orchitis - symptoms increase sharply and intensively expressed:

• fever, sharp pain in the testicle;
• Pain can be transmitted in the crotch, groin, lower back;
• clearly shows which of the testes affected because it dramatically increases in size, scrotal skin over it is smooth and sometimes hyperemia (above normal);
• in the most severe cases, there is also the chills, headache.

Chronic orchitis - can occur due to incorrect treatment of acute. Also, it may be preceded by diseases such as prostatitis, cystitis, urethritis. After them, the infection through blood enters the egg and provoke pathology. Symptoms in this case are very weak or are absent altogether. Only occasionally observed slight pain in the scrotum.

If you find yourself in similar symptoms, consult a doctor immediately. It is easier to prevent than to deal with the consequences.

Diagnostics

• microscopic examination of the discharge from the urethra;
• urine analysis and blood tests (total);
• urine culture and urethral discharge for the sensitivity of flora to antibiotics;
• ultrasound of the scrotum.

orchitis treatment

orchitis treatment can be carried out both by conservative and surgical. It all depends on how much developed the disease and how it is accompanied by symptoms.

• Antibiotic - conducted taking into account the sensitivity of the pathogen to the drug. The course must be selected carefully since excessive doses of the drug will have a significant side effect, and the lack of it will result in an incomplete destruction of microbes.

• Analgesics are required under expressed pain syndrome.
• If purulent complication develops, then, surgical drainage of the testicle (the outflow of pus).
• In case of significant damage to tissue, an organ can be removed.

Please refer to the urologist, who will determine the tactics and tell you how to treat orchitis.

danger

Complications can develop quite serious:

• secretory male infertility;
• abscess (purulent inflammation) egg;
• atrophy (decrease size);
• inflammation of the appendages.

risk group

Men with infectious diseases of the urogenital area.

prevention

• Hygienic measures;

• Early treatment of infectious diseases.

This article is available exclusively in the educational purposes and is not scientific material, or professional medical advice.

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what to expect

1. Acute orchitis begins with a sharp pain in the testicles, while noting the increase in its size. Often the pain shifts to the inguinal canal.
2. In parallel, the symptoms of intoxication developed - headache, nausea and sometimes vomiting.
3. Appear chills and fever, which may rise to 39-40 degrees.

The symptoms persist for a few days, but then the temperature is reduced, decreased pain, egg acquires former size, normalized general condition of the patient. However, the seal defined when viewed in the testicular tissue is preserved for a long time. For chronic orchitis undulating, periodic exacerbations occur.

How to treat?

In the early days of the patient prescribe bed rest.
To reduce pain scrotum attached to an elevated position via jockstrap (bandages for scrotal sac as sensed by a belt and hips).

Patients are encouraged to move less and wearing tight underwear.

From medicines displays broad-spectrum antibiotics, anti-inflammatory and analgesic (antipain) means. Physiotherapy and dry heat are assigned only after subacute.

The patient is allowed to go after the normalization of temperature, but for some time it is necessary to wear a jockstrap.

If conservative treatment does not bring the desired result, surgery is used. For example, the symptoms and suppuration occurs abscess (abscess) produced abscess drainage opening and is carried out (removing liquid). In severe cases, especially when it comes to the elderly, the affected testicle removed orchitis.

expert opinion

Of course, it is better to do the prevention of disease. Effective means of preventing the disease is considered to be vaccinated against mumps (better known as a pig). Pass vaccination is recommended, for example, adult men, if they are in contact with a sick child, and can not say with certainty that a child themselves suffered this disease.

Our reference

orchitis (Testicular inflammation) - a disease which can occur during injury scrotum or as a complication of infectious diseases such as epidemic parotitis (Mumps), influenza, tuberculosis. It is most commonly found in teenagers, but can also develop in the child's early childhood and an adult male.

Attention

Not completely cured acute orchitis fraught transition to the chronic form. Thus the patient feels moderate pain in the testis and spermatic cord. Testis increased during palpation determined by its tenderness and seals. Due to the duration of the disease the patient may be disturbed sexual function. Gradually developing testicular atrophy (decrease its mass and impaired function), resulting in infertility.

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Causes

Orchitis may result from infectious diseases - mumps (mumps), influenza, scarlet fever, chicken pox, pneumonia, brucellosis, typhoid fever. However, most often are the cause of inflammatory diseases of the urogenital system such as urethritis, prostatitis and other.

The disease develops as a result of introduction of infection into the egg with a current of blood. Cause of epididymitis is the spread of the infection of the vas paths from the seminal vesicles, prostate and urethra.

The cause may also be orchitis testicular trauma. Orchiepididymitis sometimes occurs after prostate surgery.

What if this happens?

Allocate acute and chronic stages of development orchiepididymitis.

The acute stage is characterized by severe pain in the testicle. The scrotum on the affected side increased significantly, smoothed the folds of skin on it becomes shiny, tight. Touching testicular inflammation is very painful. In humans, the temperature rises, there are common signs of inflammation - headache, nausea, weakness.

Such a state in the absence of treatment can last about two weeks, and then go into the chronic stage. The temperature is reduced, the pain goes away, but with testicular palpation determined sealed painful formation - inflamed appendix.

In the worst case may develop a purulent form of testicular inflammation, which results in the infringement of its patency duct. In bilateral lesion, it can lead to infertility.

Diagnosis and treatment

Diagnosis is andrologist or urologist with the personal inspection. Used laboratory diagnostic methods by which the physician determines the nature of the infection. In addition, it conducted ultrasound of the scrotum.

The patient is prescribed bed rest, the scrotum must be in a raised condition, in which, for example, enclose a towel. Assigned a diet with exception of spicy, fatty and fried foods, drinking plenty of fluids.

Also, be sure to treat the infection, which caused the development of inflammation. Usually prescribe broad-spectrum antibiotics.

At the end of the acute process is carried out physiotherapy.

With the development purulent abscesses is necessary to conduct the autopsy and drainage of the testicle to remove pus. In the worst case, a running orchiectomy - removal of the affected testicle. Therefore, do not delay the visit to the doctor in case of symptoms orchiepididymitis.

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