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Orchitis (or-KIE-tis) is an inflammation of one or both testicles. It is usually caused by a bacterial infection or by the mumps virus. Bacterial orchitis can be caused by sexually transmitted infections (STIs), particularly gonorrhea or chlamydia. Bacterial orchitis often results from epididymitis, an inflammation of the coiled tube (epididymis) at the back of the testicle that stores and carries sperm. In that case, it's called epididymo-orchitis.
Epididymitis And Orchitis. Epididymitis is an inflammation of the epididymis. The epididymis is the coiled tube at the back of the testicle. In most cases, an infection causes this inflammation. Orchitis is an infection of the testicle. It is much less common than epididymitis. Orchitis usually spreads to the testicle through the bloodstream. Viruses commonly cause the infection. Epididymo-orchitis is an inflammation of both the epididymis and the testicle. Infections that cause epididymitis usually are related to age, medical history and sexual activity. Before puberty. Intestinal bacteria, such as E. coli, most often cause epididymitis.