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How to Distinguish Orchitis and Epididymitis?

Orchitis and Epididymitis

By Jane SmithPublished 2 years ago 3 min read
How to Distinguish Orchitis and Epididymitis?
Photo by Karl Fredrickson on Unsplash

Orchitis and epididymitis are two common testicular diseases. There are many similarities between the two diseases. Patients will have testicular swelling and pain or a feeling of falling, and sometimes they are accompanied by fever, chills, and other clinical symptoms. But they still have many differences between the two testicular diseases.

To effectively distinguish the two diseases, the followings are to give a detailed description of the differences.

1. The organs of orchitis and epididymitis are different.

Orchitis is generally the inflammation of the essence of the testis itself. The clinical manifestations are the enlargement and pain of the testis or accompanied by fever and some symptoms of discomfort, such as frequency and urgency of urination. Therefore, the inflammatory characteristics of the testis are mainly the lesions of the testis itself.

Inflammation of the epididymis is local inflammation that makes it red, swollen, hot, and painful. And patients may also have enlarged epididymis and epididymis nodules. They may appear as other symptoms of prostatitis, such as frequent and urgent urination.

2. The etiology of orchitis and epididymitis is different.

Epididymitis often produces inflammation as a result of the urinary system. Diseases such as prostatitis and seminal vesiculitis typically occur when pathogenic bacteria spread down the vas deferens into the epididymis. In addition, clinical also proved that bloodstream infection could be led to epididymitis.

The etiology of orchitis is much more than epididymitis. Bacteria and viruses usually cause orchitis. In addition, the mumps virus can also lead to orchitis. The infection route is blood and lymphatic are more common, and it can invade the testis from the urethra, seminal vesicle, vas deferens, and epididymis.

3. Orchitis and epididymitis are examined differently.

The symptoms of orchitis and epididymitis are similar, but orchitis patients can find that the signs of testicular red heat are not so obvious when examined. But they can see the patient's unilateral or bilateral testicular enlargement, tenderness, and scrotal skin is also obviously red and swollen. The patient has a sense of heat.

While patients with epididymitis can be found in the examination of the whole scrotum swelling, burning pain, sensitivity to touch, and burning pain of urination. When the scrotum is still, the patient feels pain, which can be relieved by lying supine.

4. The nursing method for orchitis and epididymitis is different.

Because severe orchitis will lead to the loss of fertility of patients, clinicians will use painkillers to treat and coordinate with antibiotics. In addition, patients need massage testicles. If the acute phase is not properly treated, bacterial orchitis can also form an abscess or develop into chronic orchitis.

Epididymitis is mainly treated with antibiotics to relieve acute pain and cold compress the testicles while the testicles need putting up.

Antibiotic treatment generally does not work well if orchitis and epididymitis become chronic. Men can use natural medicine to replace antibiotics, such as Diuretic and Anti-inflammatory Pill. It has a broad spectrum of bactericidal properties and can continue to kill bacteria without causing harm to the human body.

The above is a detailed introduction to how to distinguish orchitis and epididymitis. I hope people can further understand these two diseases through the above introduction and better determine when they have uncomfortable symptoms.


Epididymitis and orchitis are harmful to the human body if they are not treated in time. Because the epididymis helps to promote the further maturation of sperm, the long-term inflammatory stimulation in the epididymis will affect the development of sperm, resulting in poor sperm quality, reduced sperm vitality, and reduced probability of sperm and egg binding, which will affect fertility.

It is also easy to cause the ejaculatory duct to be blocked, causing the sperm to be unable to discharge. Without effective treatment for a long time, inflammation continues to spread and can also harm other neighboring organs, leading to infection with bacteria. It is also easy to cause diseases such as orchitis and prostatitis.


About the Creator

Jane Smith

Haha, just to share some health knowledge.

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    Jane SmithWritten by Jane Smith

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