Testis and adjustnt structure
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This document discusses several conditions affecting the testes and adjacent structures, including orchitis, epididymitis, hydrocele, and varicocele. Orchitis is defined as an inflammation of the testes that can be caused by bacterial, viral, spirochetal, parasitic, traumatic, chemical or unknown factors. Risk factors include not being immunized against mumps, having recurrent UTIs, prior genital or urinary tract surgery, multiple sexual partners, and history of STDs. Symptoms include acute scrotal pain, edema, and tenderness, as well as potential fever, nausea and vomiting. Treatment involves antibiotics if bacterial, along with NSAIDs, analgesics, bed rest, scrotal elevation,
Testis and adjustnt structure
- 1. CONDITIONS AFFECTING TESTES & ADJACENT STRUCTURES
- 2. • ORCHITIS •EPIDIDYMITIS •HYDROCELE • VARICOCELE • TESTICULAR CANCER
- 3. • Orchitis ( Orchitis is an inflammation of the testes) • Epididymitis ( is an infection or Inflammation of the Epididymis) • Hydrocele ( is a condition of collection of fluid in the tunica Vaginails of the testes)
- 4. • varicocele ( is a condition an abnormal dilation of the veins in the scrotum) • Testicular cancer
- 5. ORCHITIS • Orchitis is an inflammation of the one or both testes, caused by bactrial, viral, spirochetal, parasitic, traumatic, chemical or unknown factors. • The more common cause of isolated orchitis is mumps.
- 6. • Bactrial causes usually spread from an associated Epididymitis in sexually active men. • Causative orginsms include • Neisseria gonorrhea • chlamydia trachomatis • E. Coli • Klebsiella, Pseudomonas, staphylococcus species and streptococcus species.
- 7. RISK FACTORS • Not being immunized against mumps • Having recurrent UTI •Any surgery involving the genitals or urinary tract • Multiple sexual partners •History of STDs
- 8. Clinical manifestations • Acute scrtoal pain and edema and tender. • Pain ranging from mild to severe (the term testicle pain also called “ groin pain” • in some cases fever and nausea and vomiting.
- 9. Complications • Testicular atrophy • Scrtoal abscess • Recurrent Epididymitis • Infertility
- 10. Assessment and diagnostic findings • History and physical examination •Testicular examination •STDs screening • Ultra sound
- 11. Treatment • If Bactrial orchitis antibiotics are the first line treatment • NSAIDSs or analgesics for reducing pain and anti inflammatory drugs. • Bed rest and scrotum elevated •Cold packs