This case study agrees with other studies (6,7) that mumps orchitis
rarely leads to sterility but it may contribute to subfertility.
The model was adjusted for age and sex, except in the model with mumps orchitis in which only male patients were included, and adjustment was made only for age.
When results are stratified by year of birth to those born before 1980, those born from 1980 through 1989, and those born from 1990 through 2006, the estimated complication rate for hospitalized mumps orchitis is lower in younger age groups than in older age groups (Table 1).
A recent increase in mumps orchitis
among pubertal and postpubertal males has raised concerns about fertility issues in men aged 15 to 24 years, according to a review.
usually resolves within 4 to 10 days, with symptomatic treatment including bed rest, elevation of the scrotum, ice packs to the area, and analgesics (Casella, Leibundgut, Lehmann, & Gasser, 1997).
The patient's use of medications and herbal preparations should be assessed, as well as any history of anosmia, midline defects, cryptorchidism, or testicular trauma including mumps orchitis
, prior surgery, toxin exposure, radiation, or chemotherapy.
When the mumps virus affects older males who have been through puberty, around one in three develops inflammation of a testicle known as mumps orchitis.
Once mumps orchitis is confirmed, treatment is with painkillers plus ice-packs to reduce swelling and pain.
I have never seen true orchitis postoperatively, although a vasectomy would not protect a man from mumps orchitis