Orchitis (testicular infection)

About Orchitis (testicular infection)

An infection of the testicle. The infection causes swelling and pain in the testicles. The most common cause in adolescents and young adults is mumps, which is a virus. When bacteria are the cause of orchitis, the infection usually spreads from the epididymis which is a gland at the back of the testicle. Gonorrhea or Chlamydia are sexually transmitted infections that can cause epidydimo-orchitis. About two thirds of cases involve only one testicle.

Symptoms

Swelling of the scrotum, tenderness , heavy feeling in the testicle, fever, groin pain, testicle pain aggravated by bowel movement or straining.

Tests & Diagnostics

A history and physical exam will be performed. A swab from the penis may be sent for culture, and urine may be sent for culture. Ultrasound might be used to check for torsion (twisting of the testicle).

Common tests: Ultrasound.

Path 2 — Over-the-Counter Options

OTC sleep aids and supportive treatments

Path 3 — Prescription Options

Prescription medications

Conventional treatment summary

Mumps is not treated with antibiotics. Antibiotics will be prescribed for bacterial infections. If the cause is felt to be gonorrhea or Chlamydia sexual partners must also be treated. Pain medications such as acetaminophen (Tylenol), and nonsteroidal anti-inflammatory medications/NSAIDs (ibuprofen/Motrin or Advil, naproxen/Naprosyn) are helpful.

Medical specialties

Internal Medicine · Urology · Pediatrics · Family Practice

This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Orchitis (testicular infection).