Orchitis

Background

  • Inflammation of testis - can be infectious (usually) or non-infectious
  • Infectious

Clinical Features

  • Testicular tenderness, edema
  • May see erythema of overlying scrotum
  • Viral orchitis
    • Abrupt onset of scrotal pain/swelling 4-7 days after onset of parotitis[1]
    • Usually unilateral
  • Fever, tachycardia
  • Inguinal lymphadenopathy
  • Patient uncomfortable while seated

Differential Diagnosis

Testicular Diagnoses

Evaluation

Work-Up

  • Testicular ultrasound
  • Urinalysis and urine culture
  • May also consider GC, Chlamydia cultures

Evaluation

  • Combination of clinical features and results of imaging/UA
  • Ultrasound may show inflammation, epididymitis, and rules out active torsion
  • Urinalysis positive for infection in epididymo-orchitis

Management

Disposition

  • Generally may be discharged home

See Also

References

  1. 1.0 1.1 Trojian, Thomas H., Timothy S. Lishnak, and Diana Heiman. "Epididymitis and orchitis: an overview." Am Fam Physician 79.7 (2009): 583-587.