Diseases

Hodenentzündung

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In the Hodenentzündung (Orchitis) is a painful infection of the testicles with viruses or bacteria. Particularly affected are children and adolescents. Sexually active men or patients with prostate disease develop more often testicular inflammation. Since the testes play an important role in reproduction, and testicular disease can lead to the loss of fertility, a doctor should always be consulted as soon as possible. Read more about the testicle inflammation!

ICD codes for this disease: ICD codes are internationally valid medical diagnosis codes. They are found e.g. in medical reports or on incapacity certificates. N45ArtikelübersichtHodenentzündung

  • description
  • symptoms
  • Causes and risk factors
  • Examinations and diagnosis
  • treatment
  • Disease course and prognosis

Testicular inflammation: description

The orchitis (orchitis) is a mostly caused by viruses inflammation of the testicular tissue. It can occur unilaterally or bilaterally. In most cases, the inflammation also extends to the epididymis. The combined inflammation of the testes and epididymides is called epididymorchitis.

Testicular inflammation occurs mainly in boys after puberty and men. It is less common in children. In most cases, the disease can be treated successfully.

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Testicular inflammation: symptoms

Depending on the cause of the testicular inflammation, there are slightly different symptoms. When a virus infection occurs within a few hours suddenly pain and swelling in the testes area. Touch, tight clothing and movements are painful. The testicle is red. Very often, mumps viruses are the cause of the testicular inflammation. Patients then usually have swelling of the parotid gland and pain in the face and neck, especially when chewing.

Bacterial syndrome is also associated with severe pain, redness and swelling. However, the symptoms develop over a few days and not within hours. In a bacterial inflammation, the epididymis is usually affected.

With a testicle inflammation, fever can also occur.

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Testicular inflammation: causes and risk factors

The most common cause of testicular inflammation is infection with mumps viruses. These pathogens are highly contagious and, like the flu viruses, they are distributed over the smallest droplets in the room, for example when sneezing or coughing. An inflammation of the testicles occurs as a consequence of mumps often in adolescents and men. Children rarely develop orchitis.

Also in the context of other virus infections may develop a testicular inflammation, such as infections with varicella (pathogens of chickenpox and shingles), Ebstein-Barr virus (pathogens of mononucleosis = glandular fever) or coxsackie viruses.

Likewise, bacterial infections can trigger an orchitis, such as salmonellosis or brucellosis. Also, as a result of a sexually transmitted disease such as gonorrhea or syphilis, the testes can become inflamed.

Sometimes patients first suffer from epididymitis (epidiymitis), for example, from ascending germs in a urinary tract infection. Subsequently, the pathogens can spread from the epididymis to the testicles.

An orchitis can also be the result of trauma.

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Testicular inflammation: examinations and diagnosis

From the description of the symptoms and the careful examination of the testicle, the doctor can usually very quickly conclude a testicular inflammation. An important diagnostic sign is the so-called Prehn sign: in a testicular inflammation, the pain often subsides when the testes are raised slightly. Using a special ultrasound examination (Doppler sonography), the doctor also checks the blood flow to the testicle. Inflammation increases blood circulation.

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