What are the treatments for orchitis?

The main treatments for orchitis include bed rest, scrotal support, antibiotic treatment, analgesic medication, surgery, etc. Orchitis is usually caused by bacterial infection, viral infection, trauma and other factors, and may be accompanied by scrotal pain, swelling, fever and other symptoms.

1. Bed rest

In the acute stage, strict bed rest is required to avoid strenuous exercise that aggravates inflammation. The scrotum can be elevated to reduce swelling, and a soft towel can be used to relieve pain. Keep the perineum clean and dry, wash it with warm water every day, and avoid wearing tight underwear to rub the affected area.

2. Hold up the scrotum

Use a special scrotal support belt or a soft folded towel to support the scrotum and improve local blood circulation. The lifting height is suitable for the patient's comfort, it lasts for 8-12 hours a day, and can be removed during sleep at night. Pay attention to the skin condition to prevent ischemia caused by compression.

3. Antibiotic treatment

Bacterial orchitis requires the use of antibiotics as directed by the doctor, such as levofloxacin tablets, cefixime dispersible tablets, azithromycin granules, etc. Urine culture or secretion testing is required before medication, and sensitive drugs are selected based on the drug sensitivity results. The course of treatment usually lasts 10-14 days, and the medication cannot be stopped on your own.

4. Analgesics

When pain is severe, nonsteroidal anti-inflammatory drugs such as ibuprofen sustained-release capsules and acetaminophen tablets can be used for a short period of time. Severe pain may require strong analgesics such as tramadol hydrochloride extended-release tablets. Avoid drinking alcohol during the medication, and those with gastrointestinal discomfort should take gastroprotective medications.

5. Surgical treatment

Testicular abscesses require incision and drainage of the abscess, and orchiectomy may be required when tissue necrosis is severe. Drainage tubes need to be left in place for 2-3 days after surgery, and intravenous antibiotics are given to prevent infection. People with recurrent chronic orchitis may consider vasectomy.

During treatment, sexual intercourse should be avoided, a light diet and plenty of water should be consumed to promote metabolism. Regular ultrasound examinations will be performed within 3 months after recovery to observe the testicular blood flow and structural recovery. Pay attention to protecting the perineum every day to prevent trauma and long-term riding stress. If you have fever, chills, or worsening pain, you need to seek medical attention immediately.