Orchitis Treatment

The testes are vital male reproductive organs. Abnormalities in this area commonly manifest as orchitis. Orchitis typically develops rapidly, with characteristic symptoms including scrotal pain, erythema and warmth of the scrotal skin, and swelling of both the testis and epididymis. So, how is orchitis treated? Below, we address this question.

Orchitis Treatment

1. General Management

During the acute phase of orchitis, patients should rest in bed and elevate the scrotum to help alleviate symptoms. Additionally, local application of warm compresses may relieve testicular pain and swelling.

2. Pharmacological Therapy

Given the prominent swelling and inflammation of the scrotal skin in orchitis, antibiotic therapy is indicated to combat infection and reduce inflammation. Oral antibiotics such as norfloxacin or levofloxacin may be prescribed; intravenous penicillin is also an option.

3. Local Infiltration (Nerve Block) Therapy

For patients experiencing significant pain and swelling, local infiltration with procaine around the ipsilateral spermatic cord can effectively reduce edema and relieve pain. This approach also improves local blood circulation in the testis and helps preserve spermatogenic function.

4. Surgical Intervention

Surgical treatment may be considered for severe cases of acute orchitis—particularly when a large abscess has formed, requiring incision and drainage. In cases of marked testicular atrophy, orchiectomy may be indicated.

The above outlines the main treatment options for orchitis. We hope this information is helpful to you.