Orchitis(redirected from syphilitic orchitis)
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inflammation of the testis in man. Orchitis usually arises as a complication of an infectious disease, for example, parotitis, influenza, gonorrhea, and typhus, or as a consequence of testicular trauma; when an infectious disease is involved, orchititis is said to arise by a hematogenous route. Orchitis has an acute progression: the testis rapidly enlarges and becomes sensitive, and its surface becomes smooth as a result of exudation in the membranes. The body temperature rises. With hematogenous infection, the epididymis and the vas deferens remain unaltered. Within two to three weeks the symptoms of orchitis usually subside, although in a few cases suppuration and even necrosis of the testis are possible. Chronic orchitis proceeds slowly with few symptoms. Treatment involves rest and the use of analgesics, antibiotics, and a suspensory. When suppuration occurs, the the abscess is lanced. In prolonged, recurring cases of orchitis, the affected testis is removed.