Orcoepidymitis: symptoms and treatment

Orhoepididymitis is a dangerous male urological disease of infectious etiology, in which the inflammatory process affects the testicle and passes to its appendage. In most cases, the ailment develops in sexually mature men between the ages of 16 and 40 (during active sexual life). But also orhoepididymitis often develops in elderly patients.

The disease gives men a very strong discomfort and is dangerous for their «male» health. The tissues of the scrotum strongly swell and touching them are very painful, so a man can not lead a full life, wear normal clothes. If the adequate and specialized treatment of the disease is not carried out in a timely manner, it can develop into a chronic form and cause a number of dangerous complications.


Orhoepididymitis most often develops as a consequence of orchitis, epididymitis. In most clinical situations, acute orchiopididymitis develops on the left, in rare cases — on the right. This is due to the anatomical features of the structure of the genitourinary system in men.

Causes of the disease are quite diverse, but more often orcoepidymitis develops due to:

  • physical injuries of testicles or scrotum
  • reduced immunity;
  • hypothermia
  • transferred diseases of an infectious and non-infectious nature (trichomoniasis, parotitis, mycoplasmosis, ureaplasmosis, chlamydia and others). This is the most common cause of development of orhoepididymitis
  • circulatory disorders in the inguinal region
  • chronic diseases of the urogenital system in the anamnesis — balanoposthitis, cystitis, urethritis
  • Orchid epididymitis may develop as a complication from angina, pneumonia, syphilis, tuberculosis, cryptococcosis
  • incorrectly performed bladder catheterization with urological pathologies

All these causes and unfavorable factors are fraught with a serious threat to the health of men. Therefore, it is important to conduct timely treatment of diseases and prevention.


In medicine, orcoepidymitis is classified according to its course:

  1. Acute current
  2. chronic course;
  3. Abscessive form.

There is also one more qualification of the disease, depending on the class of pathogen that caused the inflammation:

  • Specific orcoepididymitis. The disease develops against the background of tuberculosis, brucellosis, syphilis and others;
  • Nonspecific orchid epididymitis. In most clinical cases, its development provokes sexually transmitted infections (sexually transmitted infections). Pathogens can become nonspecific infections and viruses.

Acute form

Symptoms of this form are quite specific. Acute orcoepididymitis begins with the appearance of severe pain in the inguinal region, which forces men to immediately run to a qualified specialist for help.


  1. In the area of ​​the affected testicle and epididymis there is a strong pain, which tends to increase. Can be irradiated in the groin or perineum. Even with this symptom, the man goes to the doctor for diagnosis;
  2. The scrotum becomes painful on palpation, swells, the wrinkles on it are smoothed out. Fabrics blush and become shiny;
  3. when the palpation is marked by the tightening of the tissues of the testicle
  4. body temperature can rise to 38-39 degrees.

If these symptoms manifest themselves, most of the stronger sexes immediately go to see a doctor, as swelling and pain in the scrotum area prevents them from leading a normal life and causes very severe discomfort. If the correct treatment of acute orchiepididymitis was prescribed in a timely manner, then within a week the disease will be eliminated. But there are also men who, for various reasons, postpone their trip to the urologist. Delay even for a few days can lead to the fact that the acute stage will develop into a chronic one.

Chronic form

Symptoms of this form appear periodically. Chronic orcoepididymitis is a common cause of male infertility or testicular cancer, so if there are first signs, it is urgent to begin treatment.


  • pains in the inflamed testicle, which are permanent or periodic. As a rule, they increase during physical activity of a person
  • the body temperature can periodically rise up to 40 degrees for no apparent reason;
  • if the cause of the disease is a tubercle bacillus, then the frog can form fistulas on the skin of the scrotum.

If you do not visit a doctor and do not undergo treatment, the chronic form will after some time pass into the abscess with suppuration. This is the most dangerous condition for health, as it leads to a violation of the testicles, male infertility, tumor formation and testicular infarction. The peak of the disease occurs on the second day after the first symptoms are detected.


In order to identify the presence of a particular pathology, to know its stage and to assign the right treatment plan, it is necessary to carry out diagnostics in a stationary environment.

The main methods that make it possible to determine the presence of orhoepididymitis are:

  1. UAC
  2. OAM
  3. a smear from the urethra to determine the presence of urogenital infections
  4. urine culture on mycobacterium tuberculosis
  5. sowing from the urethra
  6. ultrasound of the scrotal organs
  7. PCR to determine the presence of STDs
  8. Wasserman’s reaction
  9. If a doctor suspects having a tumor, a testicular biopsy is performed.


Treatment of this illness should be started when its first symptoms have already appeared. The sooner it is launched, the more favorable the forecast will be. The patient must be in the hospital so that the doctors can monitor his general condition on a daily basis. Also shown strict bed rest. The patient is recommended to wear special swimming trunks to pull up the affected testicle upward.

Conservative treatment technique

After determining the causative agent of the disease, the patient is prescribed antibiotic therapy, whose action will be directed at eliminating the infection from the body. For treatment, prescribe drugs from the following groups:

  • sulfonamides;
  • fluoroquinolones;
  • aminoglycosides;
  • penicillins;
  • Cephalosporins

An inflamed testicle is shown applying cold compresses. This will help reduce discomfort and relieve inflammation.

After the acute process subsides, patients are shown to go to physiotherapy (magnetotherapy, electrotherapy, ultrasound therapy, laser therapy), to restore normal functioning of the testicle.

Orhoepididymitis is used for surgical treatment in the most difficult cases.


  1. complete overlapping of the vas deferens
  2. scrotal abscess
  3. scrotal fistula
  4. cancerous tumors
  5. infertility;
  6. testicular infarction

Preventive measures

To exclude the risk of developing this ailment, several simple recommendations should be followed. Since the common cause of development of orhoepididymitis are STIs, men are recommended to use condoms consistently. If you have previously received a groin injury, then do not hesitate and visit a doctor for diagnosis.

The scrotum should be protected not only from injuries, but also from hypothermia. Men are recommended to wear linen made of natural cloth.

It is also important to timely treat existing diseases of the genitourinary system to prevent the development of complications.