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Orchitis

• Overview
• Symptoms
• Treatment
• Prevention

Alternative Names:

Epididymo-orchitis; Testis infection

Symptoms:

• Scrotal swelling
• Tender, swollen, heavy feeling in the testicle
• Tender, swollen groin area on affected side
• 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

Signs and tests:

A physical examination may reveal tender and enlarged lymph nodes in the groin (inguinal) area on the affected side. It may also show a tender and enlarged testicle on the affected side. A rectal examination may reveal an enlarged or tender prostate gland.

Testing may include:

• Urinalysis
• Urine culture (clean catch) -- may need several samples, including initial stream, mid-stream, and after prostate massage
• Tests to screen for chlamydia and gonorrhea (urethral smear)
• CBC
• Doppler ultrasound
• Testicular scan (nuclear medicine scan)

• Review Date: 8/15/2006
• Reviewed By: David R. Knowles, M.D., Advanced Urologic Surgeons, Mt. Vernon, IL. Review provided by VeriMed Healthcare Network.

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