Testicular abscess is a rare disease characterized by acute purulent inflammation. It occurs with the rapid development of epididymo-orchitis, which is not amenable to antibacterial treatment during the first seven days, in lesser cases from volvulus or injury.
The causative agents of the inflammatory process in the testicle can be various microorganisms that have come from the primary infectious and inflammatory foci.
Thus, bacteria, fungal cultures, intracellular parasites and viruses from the urethra, intestines and even the oral cavity can lead to acute intense pain in the groin area.
Causes of occurrence
Isolated disease practically does not occur. The provoking factors include:
- Inflammatory diseases of the male genital area (prostatitis, prostatocystitis, epididymitis, orchitis, vesiculitis, urethritis).
- Transmitted diseases.
- Surgical interventions on the male genital organs.
- Generalized infections occurring against the background of suppression of the immune system (for example, ARVI against the background of HIV infection).
- Severe concomitant pathology (diabetes mellitus in the stage of decompensation, obesity, immunopathies of various origins).
- Drug use, chronic alcoholism, antisocial lifestyle.
- Injury to the organs of the scrotum.
- A neglected testicular tumor.
- Tuberculosis of the testicle and epididymis.
- Abscess of the skin of the scrotum.
- Testicular abscess symptoms.
- Pain in the scrotum. Patients describe pain in different ways. Some talk about a pulling, aching pain that can worsen depending on the position of the body. Others talk about its frequency. However, most often they note sharp, constant and growing painful sensations.
- Temperature rise. Local or general temperature rise.
- Chills, weakness, pain in adjacent areas.
- Swelling and redness of the testicle. The appendage is noticeably compacted. The testicle strains, increases in size (in especially difficult cases up to 5 times).
Disease detection begins with a clinical blood test. After that, an ultrasound examination is prescribed. In cases where it is difficult to establish an accurate diagnosis, for example, a tumor needs to be excluded, a percutaneous testicular biopsy is performed.
The choice of treatment methods directly depends on the stage of the disease. It is possible to use both conservative and surgical methods. To eliminate testicular abscess, the following things can be prescribed:
- Percutaneous puncture and aspiration;
- Etiotropic antibacterial therapy;
With timely treatment, the prognosis is favorable, in the worst case, it is possible to remove one or both testicles.
A testicular abscess in the absence of timely medical attention can lead to impotence, infertility, severe destructive changes and the further development of inflammations that put health and life at risk.
At the first appearance of the above symptoms, you must immediately make an appointment. Remember, the timing of the development of the disease plays a decisive role in the process of diagnosis and treatment.
A message for traditional medicine lovers: the use of various remedies without consulting a doctor can significantly complicate an already existing situation