Последнее обновление: 18 мая 2026
Еще одна распространенная инфекция - относительно половых органов джентльмена, так называемая яичковая инфекция, которая заставляла пациентов приходить ко мне на прием вместе с болью и припухлостью в области яиц. Как мы знаем, у простого мужчины в мошонке находятся 2 яичка, но очень редко бывает, что они оба инфицированы за один раз. На самом деле, я хочу рассказать или упомянуть не только о яичках, инфекция яичек в основном затрагивает и другие органы, которые называются придатками.
The Epididymis is a tubular structure attached to the posterior and superior side of each testicle where the sperm maturing before ejaculation. Regards to this both organs lie very adjacent so the infection often affects of this both organs and the medical term called it the “Эпидидимо-орхит”.
Sound likes the bladder infection; the major causes of this kind of infection happens from retrograde bacterial gliding from the urethra, another which very commonly is a sexually transmitted disease referred to Chlamydia and Gonorrhea. Occasionally, testicular infection can also be derived from repetitive physical activities.
После завершения обследования лечение будет основано на подозрительных причинах и симптомах, которые делятся на 2 варианта
Лечение инфекции яичек зависит от ее причины.
- Bacterial infection – Oral Fluoroquinolones antibiotic course is recommended. The antibiotic is readjusted based on the specific pathogen identified from urine culture.
- STDs – Also another possibly cause of testicular infection. Proper cocktail therapies are needed to completely eradicate Chlamydia and Gonorrhea infection.
Pain control can be well-managed with anti-inflammatory drugs and ice packs. It is good to tell the patients that if treatment is on the right track, pain will be relieved first, but scrotal swelling may take months to fully recover.
It’s important to identify the underlying cause once the patient starts improving. Prevention counseling should include water drinking habits, safe sex practices to prevent STDs, and assessment of any anatomical abnormalities.
The most important thing before diagnosing testicular infection is to first rule out testicular torsion – an urgent urological emergency that requires immediate surgical correction. Delayed treatment risks permanent loss of the testicle. If you are suffering from this kind of problems, you better seek out the trusted urologic advice or would be honor if you text мне.
If you have painful or swollen testicles and would like proper diagnosis and treatment, Dr. Soarawee Weerasopone offers specialist consultations at Bangkok Hospital Headquarters. Записаться на консультацию.
Frequently Asked Questions about Testicular Infection (Epididymo-Orchitis)
Epididymo-orchitis is an infection involving both the epididymis and the testicle. The epididymis is a coiled tube attached to the back of each testicle where sperm mature. Because the two structures lie closely together, infection often spreads to affect both simultaneously, resulting in pain, swelling, and tenderness of the affected side of the scrotum.
Testicular infection most commonly results from bacteria spreading retrograde from the urethra or urinary tract, with E. coli being the most frequent culprit in older men. In younger sexually active men, sexually transmitted infections such as Chlamydia trachomatis and Neisseria gonorrhoeae are the leading causes. Rarely, heavy physical exertion or anatomical abnormalities can also trigger the condition.
Treatment depends on the suspected cause. Bacterial epididymo-orchitis is treated with oral fluoroquinolone antibiotics, adjusted based on urine culture results. STD-related epididymo-orchitis requires a combination antibiotic regimen targeting both Chlamydia and Gonorrhea. Supportive care includes anti-inflammatory medications, scrotal elevation, and ice packs for pain and swelling relief.
With appropriate treatment, pain typically improves within a few days. However, scrotal swelling can persist for several weeks to months even after the infection has been eradicated. This is normal and does not necessarily indicate treatment failure. Follow-up with your urologist is important to confirm full resolution and rule out complications such as abscess formation.
Testicular torsion and epididymo-orchitis can present similarly with acute scrotal pain and swelling, but torsion is a surgical emergency requiring immediate intervention to save the testicle. Torsion typically has a sudden onset in younger males without fever or urinary symptoms, while infection is more gradual with fever and often associated urinary complaints. Urgent ultrasound can help differentiate them. If in doubt, seek emergency urological evaluation immediately.
**Отказ от ответственности:** Этот контент написан и проверен доктором Соарави Вирасопоне, сертифицированным урологом в Главном госпитале Бангкока. Он предназначен только для образовательных целей и не является медицинской консультацией. Всегда обращайтесь к квалифицированному медицинскому работнику перед началом любого медицинского лечения.
Медицински написано и проверено: Д-р Соарауи Веерасопон (д-р Пом) — сертифицированный уролог, штаб-квартира Бангкокского госпиталя. Международный научный сотрудник: Бейлорский медицинский колледж (США) · Университет Дзюнтэндо (Япония) · Мемориальная больница Чанг Гунг (Тайвань).
Доктор Соарави Вирасопон (доктор Пом) — сертифицированный уролог в Главном госпитале Бангкока, специализирующийся на мужском здоровье, роботизированной хирургии (система Da Vinci) и лечении камней в почках. Он прошел международные стажировки в Медицинском колледже Бэйлора (США), госпитале Университета Дзюндо (Япония) и Мемориальном госпитале Чанг Гун (Тайвань). Весь медицинский контент на этом сайте написан и проверен доктором Соарави на основе его клинического опыта и международного обучения.
Русский 
English 
ไทย 
বাংলা 
日本語 
ဗမာစာ 
العربية 
ភាសាខ្មែរ 
Français 
简体中文 
한국어 
Deutsch 
Italiano