Epidemic mumps is a common respiratory infectious disease in preschool and school-age children. The pathogen is the mumps virus, which is transmitted through saliva droplets. Testitis can also occur simultaneously with parotitis. The degree of pain varies greatly, making it difficult to determine the extent of testicular injury based on the degree of pain. There is less chance of causing permanent testicular damage, and even if affected, complete recovery is usually possible.
Why is it easy for patients with mumps to develop orchitis? It turns out that one of the characteristics of mumps virus is that it not only has effects on the glands, but also often acts on nerve tissue, pancreas, and especially the testicles with a considerable "affinity". Testitis, which occurs after puberty, can cause irreparable damage to the epithelial and interstitial cells of the seminiferous tubules of the testis, and in severe cases can cause testicular atrophy.
In addition, bilateral parotitis and orchitis in adult men can also cause hypogonadism, sometimes accompanied by azoospermia or a severe decrease in sperm count. The diagnosis of orchitis is not difficult to establish, such as testicular pain and discomfort, with very sensitive and intense tenderness, coupled with unilateral or bilateral testicular swelling, with clear symptoms and signs. Of course, before or at the same time as testicular swelling and pain, there are often symptoms and signs of mumps.
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