EP270: Swelling signals serious scrotal saga | PUTTING DR G ON THE SPOT - video Dailymotion

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Consultant urologist Dr George Lee Eng Geap, or a.k.a Dr G, helps a reader zoom in on problems of his lopsided and painful balls that he noticed after getting into a new relationship recently.  Read more at https://tinyurl.com/yp258wk6  WATCH MORE: https://thestartv.com/c/news SUBSCRIBE: https://cutt.ly/TheStar LIKE: https://fb.com/TheStarOnline

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00:00We discussed about cystitis, which is a form of infection in the bladder.

00:04Then we talked about urethritis, which is a form of infection that happens in men

00:09caused by gonorrhea and chlamydia.

00:12But this week, we're discussing how can the testicles get infected.

00:22The testicle itself is called orchitis,

00:25or the infection of the structure around the testicle itself is called epididymitis.

00:31And the combination of the infection in the epididymis and the testicle itself

00:36is called epididymal orchitis.

00:40In fact, there are two types of pathogens that can cause this.

00:44One is bacteria, the other one is virus.

00:47Let's deal with bacteria first.

00:49For men who is below age of 40, it's commonly infected by sexually transmitted infections

00:56such as gonorrhea and chlamydia, or mycoplasma, or ureaplasma.

01:02These sort of bacteria classically is transmitted by sex,

01:06either through penetrative sex or oral sex.

01:09And as a result of that, the bacteria itself gets infected into the prostate

01:14and subsequently into the scrotum.

01:17And men will present with painful scrotum

01:19and then will come to the hospital with a swollen, painful testicle

01:23that requires intravenous antibiotics.

01:26And the vast majority of men above the age of 40,

01:30this is because of lack of complete evacuation of urine.

01:35For example, when the prostate is enlarged,

01:37then men cannot finish emptying their bladder completely.

01:40Residual urine often get infected

01:43and the common pathogen is called E. coli.

01:47E. coli similarly can actually get transmitted into the prostate

01:50and subsequently into the testicle, resulting in epidemal orchitis.

01:56Regardless of what type of infection it is,

01:59it will require an antibiotics.

02:02And that itself might go on for a period of at least 2-3 weeks

02:07in order to eliminate the infection altogether.

02:11So these sort of antibiotics probably will require a culture

02:17in order to make sure that the antibiotics are appropriate

02:20because the treatment for sexual and non-sexual infections are quite different.

02:26Apart from antibiotics resolving the problems of bacterial infection,

02:32there is also a virus infection.

02:34Virus infections such as mumps are well known to cause inflammation in the testicle.

02:41The virus infection in the testicle actually has no antiviral treatment

02:46and conservative treatment will be sufficient in order to resolve that mumps-induced orchitis.

02:52Sadly, a lot of the time, mumps-induced orchitis can also result in infertility.

02:58And that is something that can significantly cause distress in the future

03:03because men with destruction of the epidemal orchitis

03:07and then by mumps, the future production of spermatogenesis

03:12is grossly compromised, resulting in infertility.

EP270: Swelling signals serious scrotal saga | PUTTING DR G ON THE SPOT

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