Sexual Health
What's the difference between acute and chronic orchitis? It's better to eat more fruits for orchitis
Orchitis is usually caused by bacteria and viruses. Bacterial infection rarely occurs in the testis itself. Because the testis has a rich supply of blood and lymph, it has a strong resistance to bacterial infection. Bacterial orchitis is usually caused by nearby orchitis, also known as testis-orchitis, and the common pathogenic bacteria are staphylococcus, streptococcus, Escherichia coli, etc. The virus can directly invade the testis. At most, the epidemic mumps virus can be seen. This pathogen mainly invades the children's parotid gland, causing the disease of "big mouth". This virus also likes to invade the testis, so viral orchitis will appear soon after the onset of epidemic mumps.
There are two kinds of common orchitis: nonspecific and parotitis. Any suppurative septicemia can cause acute suppurative orchitis, even testicular abscess. The patient often has testicular pain, radiates to the groin, has a clear sense of falling, accompanied by high fever, nausea, vomiting, white blood cell rise, etc. At the same time, testicular swelling and tenderness are obvious, and scrotal skin is red and swollen. It is necessary to go to the hospital for diagnosis and treatment in time when finding this situation.
What is the difference between acute and chronic orchitis?
1、 Acute
It is commonly seen in young and middle-aged people and children. Complications such as urinary system infection, prostatic seminal vesiculitis and prostatectomy are common. Acute onset, obvious systemic symptoms, such as high fever, chills, scrotal pain on the affected side, skin tension, redness, swelling, urgency of urination, frequent urination, obvious tenderness, and can be complicated with hydrocele.
Pathological observation of acute nonspecific orchitis is mainly testicular enlargement, hyperemia and tension. A small abscess was seen when the testicles were cut. Histologically, focal necrosis, edema of connective tissue and infiltration of lobulated nuclear granulocytes, inflammation, hemorrhage and necrosis of seminiferous tubules, and testicular abscess and testicular infarction may form in severe cases.
The diagnosis of acute nonspecific orchitis is mainly based on clinical symptoms such as high fever, chills, testicular swelling and pain, red scrotum, and edema. Of course, we must pay attention to the differentiation from acute testitis, mumps testitis, spermatic cord torsion, incarcerated hernia and other diseases.
Early diagnosis, timely administration of antibiotics and removal of etiology are important means to protect good function in the future. After a few cases of orchitis are cured, the testicles atrophy due to fibrosis and damage of the spermatogenic tube, which affects the fertility.