Key Diagnostic Tests for Orchitis: What to Expect

Orchitis is a common male reproductive system disease that can cause significant discomfort and complications. Prompt medical attention is crucial when symptoms such as testicular swelling and pain appear. To diagnose orchitis accurately, various examination items are utilized. Here's an overview of the key examination methods for orchitis:

1. Physical Examination

The first step in diagnosing orchitis involves a thorough physical examination. During this examination, the doctor will take a detailed medical history, asking about the onset and nature of symptoms, past medical issues, and potential triggers. The physical examination includes observing the appearance of the testicles and palpating them to check for swelling, tenderness, or other abnormalities.

2. Urine Analysis

Urinalysis is a routine and essential diagnostic tool for orchitis. By examining the presence of white blood cells, red blood cells, and bacteria in the urine, doctors can make preliminary judgments about urinary tract infections, which can be associated with orchitis.

3. Blood Routine Examination

A blood routine examination helps determine the body's response to infection. An increased white blood cell count, along with a higher proportion of neutrophils or lymphocytes, can indicate a bacterial or viral infection. This information is crucial for understanding the nature of the infection causing orchitis.

4. Ultrasonography

Ultrasonography is a non-invasive technique that uses sound waves to create images of the internal structures of the testicles. It helps doctors assess the presence of inflammation, masses, or other abnormalities within the testicles. This method is particularly useful for identifying the extent of inflammation and any potential complications.

5. Bacterial Culture

When a bacterial infection is suspected, bacterial culture tests are performed on urine or testicular secretions. This process involves isolating pathogens to identify the specific bacteria causing the infection. Sensitivity tests may also be conducted to determine the most effective antibiotic treatment for the patient.

6. B-Scan Ultrasound

B-scan ultrasound is another imaging technique that provides detailed information about the size, shape, and structure of the testicles. It can detect tumors, assess testicular development, and identify any signs of enlargement or malignancy, particularly in patients with cryptorchidism (undescended testicles).

Precautions for Orchitis Examination

1. Follow Pre-Examination Guidelines: Adhere to any preparatory instructions provided by the doctor or hospital, such as fasting, dietary restrictions, or discontinuing certain medications.

2. Provide Accurate Medical History: Give a detailed account of your symptoms and medical history to help the doctor make an accurate diagnosis and formulate an effective treatment plan.

3. Avoid Delaying Urination: Do not delay urination before the examination, as this can affect the accuracy of urine analysis results.

4. Avoid Excessive Activity: Stay relaxed and avoid excessive physical activity during ultrasound examinations to ensure accurate imaging results.

5. Maintain Cleanliness: Ensure the testicular area is clean before the examination to reduce the risk of bacterial infection and improve examination accuracy.

6. Stay Calm and Relaxed: Try to remain calm during the examination, as nervousness can interfere with the procedure and affect the results.

Orchitis is often caused by infectious agents, and identifying the specific bacteria involved is crucial for effective treatment. Simply using broad-spectrum antibiotics without proper diagnosis can lead to incomplete treatment and recurrence. For chronic or recurrent orchitis, herbal remedies like Diuretic and Anti-inflammatory Pill can help alleviate inflammation and pain, regulate the body, and enhance immunity, offering a comprehensive approach to managing the condition.