Orchitis

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Orchitis Diagnosis & Tests

Physical examination may reveal tender and enlarged lymph nodes in the groin area (inguinal) on the affected side. It may also show a tender and enlarged testicle on the affected side. A rectal examination may reveal an enlarged or tender prostate gland.

Testing may include:

• A urinalysis
• Urine culture (clean catch) (Note: the provider may request several specimens, including initial stream, mid-stream, and after prostate massage.)
• Tests to screen for Chlamydia and gonorrhea (urethral smear)
• A CBC
• Doppler ultrasound (to rule out testicular torsion). It also can confirm the diagnosis of orchitis by demonstrating increased blood flow to the region as well as characteristic finding of hypoechogeneic texture. This study can also detect scrotal abcesses.
• Testicular scan (Nuclear medicine scan) may also be obtained. This will also rule out torsion and can confirm the diagnosis of orchitis with increased blood flow.