Infectious Disease of the Testis

In more than 50% of cases, infections affect both the testis and the epididymis (orchioepididymitis). Infections can be divided into acute and chronic depending on the etiologic agent and the duration of infection. Germs reach testis and epididymis in several ways: hematogenous, retrograde if there is urine reflux seminal vesicle-epididymis, lymphatic, or direct from a trauma or wound. Germs that arrive by hematogenous route affect the testicle and produce orchitis. Infectious agents that reach through excretory ducts lead to epididymitis (Nistal et al. 2016).

Epididymitis and Acute Orchioepididymitis

Clinically, the epididymis or, where appropriate, the testicle are congestive, thickened, edematous with fibrinopurulent exudate. The most frequent etiology is bacterial, followed by viral and those caused by parasites.

Bacterias: In childhood, bacterial germs that cause epididymitis are preferably coliforms, in young adults, Neisseria gonorrhoeae and Chlamydia trachomatisand in elder...