Orchitis

Symptoms:

• scrotal swelling
• tender, swollen, "heavy feeling" in the testicle on affected side
• tender, swollen groin area on affected side
• fever
• discharge from penis (blood in the semen)
• pain with urination (dysuria)
• pain with intercourse or ejaculation
• groin pain
• testicle pain, may be aggravated by bowel movement or straining

Signs and 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 and/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
• a CBC
• a blood chemistry