Orchitis by Dr.K.AmrithaAnilkumar

ORCHITIS
AETIOLOGY
It is an inflammation of the testis.
It is commonly associated with inflammation ofthe epididymis. Hence, called as epididymo-orchitis.
Orchitis is due to infection through blood, lymphatics or epididymis.

1. e n love da Homoeopathy ORCHITIS

2. ORCHITIS

3. ORCHITIS AETIOLOGY It is an inflammation of the testis. It is commonly associated with inflammation ofthe epididymis. Hence, called as epididymo-orchitis . Orchitis is due to infection through blood, lymphatics or epididymis. CAUSES Viral infection—mumps. Filarial disease. , Leprosy. Bacterial. Brucellosis. Infectious mononucleosis.

4. FEATURES It can be precipitated by retrograde spread due to stricture urethra, after prostate or bladder surgery, after instrumentation. Syphilis involves testis—causing formation of gummatous ulcer on front of the scrotum . Syphilitic orchitis Syphilis involves only testis; never vas deferens. ™ Bilateral interstitial orchitis seen in congenital syphilis causing pigeon—egg testes in infants; if infant becomes syphilitic boy then he becomes lame ( Clutton’s joints) deaf ( neurolabyrinthitis ) blind (interstitial keratitis) impotent (atrophy of testes)

5. Interstitial fibrosis bilateral causing gradual destruction of the seminiferous tubules with loss of testicular sensation without any enlarged testes. Testis is dense, rounded hard and mobile— billiard testis’ ™ Gumma of testis is most common type of presentation with unilateral painless slowly enlarged hard testis with loss of testicular sensation. Testis is adherent to anterior part of the scrotal skin leading to softening and gummatous ulcer formation. Shotty groin, epitrochlear & popliteal lymph nodes may be palpable

6. . CLINICAL FEATURES Pain in the testis often radiates into groin due to associated funiculitis. Fever tenderness in the testis. Secondary hydrocele is common. Urinary infection often noticed. DIFFERENTIAL DIAGNOSIS Torsion testis. Testicular tumour. TREATMENT Antibiotics, Analgesics DEC Treating the cause. REFERENCE SRB's Manual of Surgery by Sriram Bhat M 2. A Manual on Clinical Surgery by Das 3. A C oncise textbook of Surgery by Das

7. A Special Thanks To A Very Special Doctor