TY  - EJOU
AU  - Chang, Dwayne Tun Soong 
AU  - Thyer, Isaac Andrew 
AU  - Hayne, Dickon 
AU  - Katz, Darren Jonathan 

TI  - The case of the shrinking testis
T2  - Canadian Journal of Urology

PY  - 2015
VL  - 22
IS  - 4
SN  - 1488-5581

AB  - We report the case of a man with idiopathic lymphocytic 
orchitis (LO) manifested by undifferentiated testicular 
pain and atrophy. Conventional investigation results were 
unremarkable. Oral ciprofloxacin only improved the pain 
temporarily. Scrotal exploration surgery was performed 
to exclude acute testicular torsion and a biopsy was taken 
during surgery for histological examination. Histology 
revealed severe LO with reduced spermatogenesis. A trial 
of oral steroids was initially effective but the effect was 
temporary. Due to chronic pain, he eventually underwent 
unilateral orchidectomy. Histology confirmed the initial 
diagnosis of LO. He was pain-free postoperatively. 
Idiopathic LO is a rarely reported cause of testicular atrophy.
KW  - chronic pain
KW  -  fertility
KW  -  lymphocytes
KW  -  orchiectomy
KW  -  orchitis

DO  -