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INTRODUCTION

❖ Orchitis is an inflammation of one or both


testicles.
➢ IT is usually caused byan infection or by
bacteria that the blood from other parts of the
body .
❖ Orchitis may be caused by
the virus that cause
mumps, STD, or other causes .
➢ Epididymitis is common urological condition
in man .
ANATOMY
❖ The testes are the reproductive glands of the male and are equivalent of the ovaries in
the females .
❖ The are paired and oval shaped glands .
❖ they are about 4.5 cm long. 25 cm wide and band are suspended in the scrotum by the
spermatic cords.
❖ Production of sperms .
❖ Production of testoserume harmone .
❖ It is marrow tightly coiled connecting near of the testicles to the different duct
❖ It consise of three part
❖ Head
❖ Body
❖ Tail
❖ The head of the epididymis is located on superior pole of testes .
❖ It stores sperm for maturation.
DEFINITION
Orchitis is inflammation of the
testes.it can also involve swelling
,pain and frequent infection ,
particularly of the epididymics ,as
in epididymitis.
INCIDENCE
➢ 14 percent to 35 percent of males with mumps

virus infection .

➢ The highest risk in those 15 to 29 years of age .

➢ Orchitis in uncommon in prepubertal males.


Causes of orchitis
❖ Caused by bacterical and viral infection.

❖ Sexuallytransmitted disease such as


genorrhea or chlamydia .
❖ Trauma

❖ Vasculitis

❖ Injury
PATHOPHYSIOLOGY
Due to etiological factor
⬇️
Inflammatory fluid seeks testicle in to the serus m
embrane [lining epididymis and the testicles]
⬇️
Unilateral or bilateral swelling
CLINICAL AND
MANIFESTATION
 PAIN SCROTAL SWELLING.
 FEVER .
 CHILLS.
 NOUSEA AND VOMITING.
 INFECTION.
 PAINFULL URINATION.
 ABNORMLDICHARGE BLOOD IN THE
SEMRN.
DIAGNOSTIC EVALUATION
 History collection .
 Physical
examination.
 Complete blood count.
 Testicular ultrasound.
 Tests to screen for chlamydia and gonorrhea
[uethral smean].
 Urinalysis.
 Urine culture.
COMPLICATION
Orcharitis may also cause
infertility other potential
compalication include
Chronic epididymitis .
Scrotal abscess .
Acute pain in the scrotum .
Death of testicles tissue.


Management
Medical management
❖ Board spectrum antibiotic therapy
❖ Anti inflammatory
❖ Anti pyretic drug
❖ Mumps vaccine
❖ Warm and cold compression reduce swelling and increase comfort
.surgical management
❖ Surgical management Aspiration – if hydrocele is present
the fluid may be aspirated to reduce pressure on the testis .
❖ It is done when edema is persistent and it decrease a chance of
getting testicular atrophy when done with first 2days.
NURSING MANAGEMENT

 Pain medication and bed rest with the scrotum elevated on


icepack.
 Patient educated to reduce discomfort from gonodal swelling
and alleviate systemic symptoms .
 During the acute phase of gonodal swelling the scrotum may
be supported with scrotal bridge or folded to well .
 Warm or cold compression may be applied to reduce swelling
and increase under control.
 Local heat or sitz bath later infection may master regulation
of the inflammatory process.
Summary
Conclusion
BIBLIOGRAPHY
 BOOK REFFERENCE –
 ‘BRUNER AND SUDDHARTH’ TEXT BOOK OF
MEDICAL SURGICAL NURSING 12 ;EDITION 2014
VOLUME I WLOTERS KLUMR NEW DELHI; PAGE NO
1220-1225.
 LEWIS MEDICAL SURGICAL NURSING 10 EDITION
;2014 VOLUME 1 NEW DELHI ,SOUTH SASIAN
PUBLICATION PAGE NO 1190-1195.
 NET REFERRANCE –

 http;\\www mycocellinic org com.


 http;\\www health line com .

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