ORCHITIS AETIOLOGY It is an inflammation of the testis. It is commonly associated with inflammation ofthe epididymis. Hence, called as epididymo-orchitis. Orchitis is due to infection through blood, lymphatics or epididymis.

1. en love da Homoeopathy
ORCHITIS

2. ORCHITIS

3. ORCHITIS
AETIOLOGY
• It is an inflammation of the
testis.
• It is commonly associated
with inflammation ofthe
epididymis. Hence, called as
epididymo-orchitis.
• Orchitis is due to infection
through blood, lymphatics
or epididymis.
CAUSES
• Viral infection—mumps.
Filarial disease. , Leprosy.
• Bacterial.
• Brucellosis.
• Infectious mononucleosis.

4. FEATURES
• It can be precipitated by
retrograde spread
• due to stricture urethra,
after prostateor bladder
surgery, after
instrumentation.
• Syphilis involves testis—
causing formation of
gummatousulcer on front
of thescrotum
.
Syphiliticorchitis
• Syphilis involves only
testis; never vas deferens. ™
• Bilateral interstitial orchitis
seenin congenital syphilis
causing pigeon—egg
testes in infants;
• if infant becomes syphilitic
boy
• thenhe becomes lame
(Clutton’s joints)
• deaf (neurolabyrinthitis)
• blind (interstitial keratitis)
• impotent (atrophyof testes)

5. • Interstitial fibrosis
• bilateral causing gradual
destruction of the
seminiferous tubules
• with loss of testicular
sensation without any
enlargedtestes.
• Testis is dense, rounded
hardand mobile—billiard
testis’ ™
• Gumma of testis is most
commontype of presentation
• with unilateral painless
slowly enlarged hardtestis
• with loss of testicular
sensation.
• Testis is adherent to
anterior part of the scrotal
skin
• leading to softening and
gummatous ulcer
formation.
• Shottygroin, epitrochlear
& popliteal lymphnodes
may be palpable

6. . CLINICALFEATURES
• Painin the testis often
radiates intogroindue to
associatedfuniculitis.
• Fever
• tendernessin the testis.
• Secondary hydrocele is
common.
• Urinary infectionoften
noticed.
DIFFERENTIAL DIAGNOSIS
• Torsion testis.
• Testicular tumour.
TREATMENT
• Antibiotics,
• Analgesics
• DEC
• Treating the cause.
REFERENCE
1. SRB's Manual of Surgery
by SriramBhat M
2. A Manual on Clinical
Surgery by Das
3. A Concise textbookof
Surgery by Das

7. A
Special Thanks
To A Very
Special Doctor