Orchitis occurs most often as a complication of an infectious disease: parotitis, influenza, gonorrhea, typhoid. Cavernitis may develop due to acute urethritis or any purulent-inflammatory disease, such as tonsillitis or osteomyelitis.

However, there is another, though infrequent, cause of both diseases - trauma during intimacy..

They are especially dangerous for the penis: the rupture of one of the cavernous bodies often ends with cavernitis.

The necrosis of the testicle is also possible. Orchitis begins acutely - the testicle quickly increases in size, becomes tense and painful, its surface is smooth due to effusion in the membranes. Body temperature rises. Usually, after 2-3 weeks, the phenomena of orchitis subside, although in some cases suppuration and even necrosis of the testicle are possible.. Chronic orchitis proceeds slowly, with poor symptoms.

Treatment for orchitis includes: rest, wearing a suspensory, painkillers, antibiotics. With suppuration - opening of the abscess. With a long, recurrent course - removal of the affected testicle. Orchitis can develop after mumps (mumps), influenza, scarlet fever, chicken pox, pneumonia, brucellosis, typhoid fever. But more often orchitis develops in inflammatory diseases of the genitourinary system - urethritis, prostatitis, vesiculitis, epididymitis. Orchitis can also appear after a testicular injury..

In its course, orchitis is acute and chronic.. Acute orchitis is usually caused by an acute inflammatory disease, chronic - chronic.

Acute orchitis Acute orchitis begins with severe testicular pain.. Pain may radiate to the groin, perineum, lower back, sacrum. The scrotum on the side of the disease increases by 2 times or more, its skin becomes smooth, a few days after the onset of the disease, the skin of the scrotum turns red sharply, becomes hot, and may acquire a glossy hue. The inflamed testicle is enlarged, sharply painful when touched. Simultaneously with pain in the scrotum, general symptoms of inflammation appear - weakness, fever 38-39 ° C, chills, headache, nausea.

sharply painful when touched. The main complication of acute orchitis is the possible suppuration of the testicle and the subsequent development of a secretory form of infertility.. If it is possible to develop suppuration, a patient with orchitis is hospitalized. With the development of a testicular abscess, surgeons in the hospital open it and drain it. In severe cases, with complete melting of the testicular tissue with pus, an orchiectomy is performed - one-sided removal of the testicle.

Chronic orchitis Chronic orchitis develops with improper or insufficient treatment of acute orchitis or as a complication of chronic inflammatory diseases of the genitourinary system - chronic prostatitis, urethritis, vesiculitis. In chronic orchitis, often the only manifestation of the disease is some soreness of the testicle when touched.. During an exacerbation of the disease, pain in the testicle appears when walking.

Chronic orchitis, more often than acute, leads to a decrease in the secretory function of the testicle and can cause infertility..

Treatment of chronic orchitis is very long and laborious.. Mandatory treatment of the underlying disease. There is also a course of taking antibacterial drugs, local thermal and physiotherapy procedures are actively used.. In severe cases, with a long-term absence of the effect of conservative therapy, a unilateral orchiectomy is performed..

Prevention of orchitis is reduced to the treatment of chronic inflammatory diseases of the genitourinary organs, careful monitoring of one's condition during common infectious diseases (mumps, influenza, scarlet fever, pneumonia, and others), with trauma to the scrotum, perineum and pelvic area.

Inflammation of the cavernous bodies - cavernitis When cavernous in one of the cavernous bodies, an inflammatory infiltrate is formed, which is manifested by the appearance of a painful induration in the penis. The disease begins acutely, suddenly. There is pain in the penis, which can be very pronounced. The penis enlarges, its skin becomes red, swollen. An erection may appear that is not associated with sexual arousal. At the same time, the patient develops general symptoms of an inflammatory disease - headache, chills, weakness, fever.

If no therapeutic measures are taken, the infiltrate formed in the cavernous body can fester. In this case, an abscess of the cavernous body is formed, which quickly breaks into the lumen of the urethra.

Subsequently, scar tissue grows at the site of the abscess, and this leads to a curvature of the penis during erection, which can cause severe inconvenience or even make sexual intercourse impossible..

Treatment only in the hospital!

Treatment is mandatory in the hospital due to the risk of developing the described complications.. Treatment of the underlying disease that led to the development of cavernitis, a course of antibiotic therapy. Additionally, drugs with a resolving effect are used.. When the acute phase of inflammation passes, they resort to local thermal and physiotherapeutic procedures..

If an abscess of the cavernous body has developed, it is opened and drained.

Prevention of cavernitis consists in the treatment of urethritis or any other inflammatory disease that may be complicated by the development of cavernitis. In case of trauma to the penis, it is imperative to conduct a course of antibiotic therapy, and during acute tonsillitis, pneumonia and any other inflammatory disease - listen carefully to your body, and at the slightest suspicion - contact a urologist.

Vadim Kirillov.

nedug. en.