Orchitis
Alternative Names
Epididymo-orchitis; Testis infectionSymptoms
- Scrotal swelling
- Tender, swollen, heavy feeling in the testicle
- Tender, swollen groin area on affected side
- Fever
- Discharge from penis
- Pain with urination (dysuria)
- Pain with intercourse or ejaculation
- Groin pain
- Testicle pain aggravated by bowel movement or straining
- Blood in the semen
Exams and Tests
A physical examination may reveal tender and enlarged lymph nodes in the groin (inguinal) area on the affected side. It may also show a tender and enlarged testicle on the affected side. A rectal examination may reveal an enlarged or tender prostate gland.
Testing may include:
- Urinalysis
- Urine culture (clean catch) -- may need several samples, including initial stream, mid-stream, and after prostate massage
- Tests to screen for chlamydia and gonorrhea (urethral smear)
- CBC
- Doppler ultrasound
- Testicular scan (nuclear medicine scan)
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