Which tests are helpful in the diagnosis of orchitis?

Updated: Aug 27, 2019
  • Author: John L Brusch, MD, FACP; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

Of patients with orchitis resulting from tuberculosis, 70% have other genitourinary or pulmonary symptoms of this disease. Testing urine for acid-fast bacilli (AFB), testing using purified-protein derivative (PPD), and performing chest radiography are helpful.

Testicular cancer is the most common malignancy in males aged 15-35 years. Although it usually presents as a painless intraparenchymal mass, 10% of cases present after minor trauma. For this reason, any patient felt to have a lesion within the parenchyma of the testicle should be referred for immediate urologic evaluation.


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