Does orchitis require surgery if it becomes severe?

Whether surgery is needed for severe orchitis depends on the severity of the condition and the patient's specific circumstances. 1. Mild cases: In the early stages of orchitis or when the condition is relatively mild, surgical treatment is usually not required. Most patients can be effectively treated with appropriate medication, such as antibiotics to control infection, along with maintaining local cleanliness and dryness. 2. Severe cases: If symptoms of orchitis are severe—such as significant testicular swelling, intense pain, accompanied by systemic symptoms like high fever and chills—or if the inflammation has involved the reproductive tract leading to serious complications such as hematospermia, surgical intervention may need to be considered. The usual surgical approach is incision and drainage to remove the infectious focus and pus, helping to resolve the inflammation.