called orchitis testicular inflammation.This disease in urological practice not uncommon, but it usually does not occur alone, but is the result of complications of common infectious processes occurring in the body.
Causes The most common cause of orchitis is the spread of sexually transmitted infections (STIs) with other organs of the urogenital system in the egg.These pathogens include gonococci, trichomonas, chlamydia, mycoplasma, ureaplasma.The second most common cause of occurrence of orchitis - entering the bloodstream infection often causes orchitis mumps virus, popularly known as mumps.Besides pathogen mumps orchitis can cause serve, and the flu virus, and varicella zoster virus and Streptococcus pneumoniae, and others.In some cases, orchitis results from an autoimmune process, such as rheumatoid arthritis.Also orchitis may occur as a result of injury or testicle as a complication after surgical intervention in the external male genitalia.
By the nature of the flow are acute and chronic orchitis orchitis, inflammation usually occurs on one side, but about 10% of cases of orchitis symptoms in both testicles.
Acute orchitis has an abrupt onset.The first symptom of orchitis is a severe pain in the testicle, worse when moving, egg evenly increases in size, the scrotal skin over it is stretched, it becomes smooth, hot and congested, touch causes a sharp pain.Acute orchitis accompanied by a general deterioration: the body temperature rises to 38 - 40 ° C, joins a fever, appear headaches and muscle pain, weakness.In taking active treatment measures orchitis symptoms disappear in 7-10 days, if the disease is left untreated, there are three possible ways of development process: self-healing may occur within 2-3 weeks, the disease can become chronic or develop an abscess (purulent inflammation) eggs.
Chronic orchitis may be a consequence of untreated acute orchitis, or be the primary-chronic, ie,infectious process occurs as chronic immediately, usually typical for orchitis caused by STIs.In this case, orchitis symptoms may be absent, and the disease is detected by chance during examination for infertility, which often results in chronic orchitis.The only symptom of orchitis in its chronic form, are generally minor pain in the testicle, which usually appear at a certain position of the body or feeling.
Diagnosis is made by medical history (past illnesses, injuries, etc.), visual inspection of the external genitalia and ultrasound.Great importance is attached to the identification of the causative agent, because it affects the treatment of orchitis, therefore conducted research to identify STIs;also undertake a general analysis of blood and urine, the puncture is performed with testicular laboratory study punctate.
treatment of acute and chronic forms of somewhat different, however, in this and in another case, the main event should be directed to cure the underlying disease that led to the occurrence of orchitis.
Acute orchitis assigned percussion course of antibiotic therapy, which used broad-spectrum antibiotics, as required rapid adoption of vigorous measures, and no way to wait for the results of bacterial seeding.Together with them are appointed by the nonsteroidal anti-inflammatory and pain medications.The patient was prescribed bed rest, and in the case of physical activity must be wearing a jockstrap - a special brace that supports the egg at a certain position.At sharply expressed pain syndrome spend spermatic cord blockade using anesthetic injection.From eating the period of treatment excluded fatty, fried and spicy foods, and alcohol.
Treatment of chronic orchitis should be consistent and persistent as chronic orchitis is difficult to treatment, but it can cause male infertility.As in the treatment acute orchitis appointed antibacterials, however carefully they are matched with the bacterial research data.Generally, treatment of chronic orchitis requires several courses of antibiotic therapy in different formulations, in combination with hormonal anti-inflammatory agents.At the same time actively applied physiotherapy methods: UHF-therapy, magnetic therapy, laser therapy, hot compress and warm sitz baths.The same therapeutic measures prescribed for the treatment of acute orchitis in the stage of inflammation subsided, but fewer courses.Treatment of chronic orchitis also requires adherence to diet and giving up bad habits.
most common complication of acute orchitis is the development piotsele - purulent inflammation, which leads to a melting of the eggs, or the formation of a fistula.Such complications are treated by surgery, for which the egg is opened, drained and washed with antiseptics.In case of formation of a fistula is excised and sutured it.If was complete purulent fusion of eggs, carried out an operation to remove it - orchiectomy.
complications of chronic orchitis is infertility due to a decrease of the secretory function of the testis, in some cases, a chronic process can lead to testicular atrophy or hydrocele - hydrocele.Undertreated chronic orchitis leads to other inflammations of the genitourinary system, and as a permanent focus of chronic infection to decreased immunity with all its consequences.
Acute orchitis has a more favorable prognosis than chronic, the further men's health.As a rule, take timely treatment measures, acute orchitis passes unnoticed.Chronic orchitis is treated with great difficulty, it requires perseverance from both the physician and the patient, but sometimes even in the event of a complete cure testicular secretory function can be significantly reduced.Especially dangerous in this sense, bilateral orchitis transferred in childhood and adolescence.As prevention of disease is very important timely as possible early treatment of orchitis.
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