Historphosis is one of the common diseases of men. It can be caused by various reasons. The most common is non -characteristic orchitis and mumps. Testitis will often have testicular atrophy after cure. In severe casesCauses infertility.
Many patients want to understand whether orchitis will cause infertility.Therefore, male friends should go to the hospital for treatment in time to discover the phenomenon of scrotal erythema, redness and swelling, so as not to misunderstand the disease.
1. Chronic non -specific orchitis
Chronic orchitis is mostly caused by the inadequate treatment of non -specific acute orchitis.It can also be caused by mold, spiral, and parasitic infections. For example, testoscopic syphilis, those with testicular trauma, can occur in granuloma orchitis.Testes are local or whole body radioactive albimum phosphorus, and testicular inflammation can also occur to destroy testicular tissue.
In the pathogenic, the testosteria is swollen or hardenic atrophy. The base membrane of the sperm tubes changes with glass -like and degenerate.There may be sclerosis around the small tube, and a small hyperplasia can be formed.
Clinically, the testicles are chronic swollen, hard and smooth on the surface, light tenderness, and losing normal sensitivity.Some testicles gradually shrink, and severe cases can hardly find testicles, showing that the epididymis is relatively increased. Most cases inflammation spreads from epididymis to testicles, and the boundaries between the two are unclear.Those with bilateral chronic orchitis can often cause infertility.In terms of treatment, the cause of chronic orchitis.
Second, acute mummitis sexual orchitis
Popularity mumps are the most common causes of orchitis. About 20%of patients with mumps are complicated in orchitis.It is more common in the late adolescence.The testicular is highly enlarged and purple -blue.When cutting the testicles, due to the interior response and edema, the testicular tubules cannot be squeezed out. The tissue observation see edema and vascular dilation, a large amount of inflammatory cells infiltrate, and the raw sperm tubes have different degrees of degeneration.When testicularitis heals, the testicularis becomes smaller and soft.Small tubes have severely atrophied, but preserving testicular intercostal cells, so the secretion of testosterone is not affected.
Third, acute non -specific orchitis
Patients with acute non -specific orchitis occur in patients with urethritis, cystitis, and prostate hyperplasia and long -term reservation urethra.The infection spreads through lymphatic or vasters to an epididymia orchitis. The common pathogenic bacteria are E. coli, Actilus, bacteria, and vibrobacteria.Bacteria can spread to testicles through blood, causing simple orchitis.However, testicular blood is abundant and has strong resistance to infection, so this situation is rare.
Pathological observation of the naked eye is mainly testes, congestion, and nervousness.See a small abscess when cutting the testicles.Organic science is seen in stove necrosis, connective tissue edema and leaf nucleus cells infiltrate. Small sperm tubes have inflammation, bleeding, and necrosis. In severe cases, testicular abscess and testicular infarction can be formed.
Diagnosis of orchitis is mainly diagnosed based on the clinical high fever, cold war, testicular swelling and pain, scrotum redness, edema and other symptoms.Of course, pay attention to distinguish between epiphomiology, mumps, orchitis, sperm cables, and embedded hernias.
Early diagnosis and timely antibiotics, removing the cause is an important means to protect the good function in the future.After cure, a small number of orchitis can cause testicular atrophy and affect fertility due to the damage of fibrosis and sperm tubes.
(Editor in charge: A Qiu)
