Date:2018-12-08 click:0

Orchialgia sufferers have unilateral or bilateral swelling testicle with tenderness and reddened and swollen skin of scrotum.


Categories of orchialgia


There are many causes for orchialgia such as infection, trauma and tumor.

Property of orchialgia caused by different factors include distending pain, bearing-down pain, cutting pain, sagging distention or secret anguish, acute pain.


In addition to pain caused by testicle lesions, intrascrotal epididymis, spematic funicle lesions and inflammation can also cause orchialgia.


Orchialgia also result from lesions of bladder, prostate, etc radiated into scrotum and testicle.


Causes of orchialgia are not specific orchitis. Any suppurative septicemia can be complicated by acute suppurative orchitis and even lead to testic abscess.

Pathogenic bacteria are mostly E. coli, streptococcus, staphylococcus and pseudomonas aeruginosa. But the most common cause of suppurative orchitis is inflammation spread from epididymis. So it is actually testicular sagging distention of epididymo-orchitis sufferers radiated to groin with high fever, nausea, vomiting, swelling testicle, tenderness and reddened and swollen skin of scrotum. If the lesions are early and epididymis can be reached, it can be diagnosed as epididymo-orchitis.


Different symptoms result from different factors


Orchialgia caused by infection is severe and even in cutting pain accompanied by fever with chilliness, reddened and swollen scrotum, and apparent tenderness. Most bacterial orchitis is caused by adjacent epididymal inflammation, so it is also called epididymo-orchitis. Acute orchialgia is common in orchitis and testicular trauma. In addition to hematogenous infection, the more common cause for epididymitis and orchitis is bacteria processing urethra, retrograding to epididymis and then testicle with swelling and pain of epididymis and testicle. Injury history and local swelling and stagnant blood exist while testicular trauma, so relatively speaking, in addition to acute pain of testicle, scrotum would swell and skin be edematous.


Tuberculosis infection is often associated with tuberculosis history of urinary system or other parts. It is manifested as testicular pain, sagging distention in lower abdomen, with scrotal swelling and even pus while severe. Rugged hard nodules which may adhere to skin of scrotum can be found these lesions when these sites of lesions are touched.


Orchialgia resulted from prostatitis would be associated with perineal sagging and distending discomfort, urgent and frequent urinate, painful urination, dysuria, etc.


Orchialgia caused by testicular tumor and epididymal neoplasms is manifested as swelling or bearing-down pain, with diseases of ectopic testicle and incomplete orchiocatabasis.


Mild orchitis sufferers delayed for a long time are in less and radioactive pain. Orchialgia is not necessarily proportional to the severity of inflammation. Some sufferers of mild inflammation are in severe pain; some sufferers think it’s mild, but actually, it’s heavy and have led to infertility. Swelling inner testicle is of hyperemia and hemorrhage; gland cells which can discharge sperm would be of swell, denaturation and partial necrosis. Testicular swelling and pain would reduce and body temperature be gradually nomal in about 4 days; 30%- 40% patients would suffer from orchiatrophy in a few weeks, and it would lead to permanent infertility if bilateral testicular atrophy would result in loss of spermatogenic function.


Therefore, orchitis need to be taken seriously once it is found so as not to delay and cause serious consequence. Mild chronic orchialgia sufferers delayed for a long time would be in in less pain with groin pain and perineal sagging distention. Chronic orchitis would combine with prostatitis, vesiculitis and urinary infection. Orchialgia is not necessarily proportional to the severity of inflammation. Some sufferers of mild inflammation are in severe pain; some pain is radiated from varicocele or pain of other parts such as radioactive orchialgia caused by ureteral calculus; some pain is after the sexual life, which may be due to sexual excitation resulting in hyperemia of genitalia and gonad. Then the real cause must be identified for symptomatic treatment.