How is mumps-induced orchitis treated?

Aug 24, 2022 Source: Cainiu Health
Dr. Zhang Liwen
Introduction
Orchitis caused by mumps is primarily treated with antiviral medications. Patients are advised to follow a light diet, rest in bed frequently, and drink plenty of water, which facilitates faster recovery. Early anti-inflammatory treatment following swelling of the testis and epididymis not only helps prevent progression of testicular swelling but also promotes rapid disease resolution. For significant testicular pain, local infiltration anesthesia may be administered at the spermatic cord.

Although mumps is an acute respiratory infectious disease, inadequate or improper treatment can easily lead to complications such as orchitis. In male patients, complicated orchitis may not only impair testicular health but also reduce libido and even result in infertility. So, how is mumps-induced orchitis treated?

How is mumps-induced orchitis treated?

Mumps-induced orchitis is primarily treated with antiviral medications. Patients are advised to follow a light diet, rest adequately in bed, and drink plenty of water—these measures facilitate faster recovery. Early anti-inflammatory treatment following the onset of testicular and epididymal swelling can help prevent progression of swelling and promote rapid disease resolution. For pronounced testicular pain, a spermatic cord block may be performed. A commonly used agent is 0.5% lidocaine; alternatively, traditional Chinese medicine (TCM) preparations may be applied locally, primarily for their anti-inflammatory effects.

If orchitis is caused by mumps, antiviral therapy is the first-line treatment. Mumps results from infection with the mumps virus; thus, mumps-associated orchitis is also termed viral orchitis. As mumps is a viral illness, antiviral treatment is essential. Interferon is the most commonly prescribed antiviral agent for this condition; intravenous immunoglobulin (IVIG) may also be used. Symptomatic treatment is equally important. Severe orchitis often causes intense pain; in such cases, long-acting local anesthetics may be administered via spermatic cord blockade on the affected side to alleviate pain. Additionally, antipyretic and analgesic medications may be prescribed as needed.

Patients are strongly advised against self-medicating and should instead seek guidance from qualified practitioners of Traditional Chinese Medicine (TCM) for appropriate pharmacotherapy. We hope this information proves helpful to you.

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