How to treat male orchitis

Male orchitis can be treated through anti-infective treatment, bed rest, local physical therapy, surgical intervention, traditional Chinese medicine conditioning and other methods. Orchitis may be caused by bacterial infection, viral infection, trauma, retrograde transmission of urinary tract infection, immune factors and other factors. It usually presents with symptoms such as redness, swelling, heat and pain in the scrotum, fever, difficulty in urinating, and swollen inguinal lymph nodes.

1. Anti-infection treatment

Bacterial orchitis requires the use of antibiotics as directed by the doctor, such as cefaclor dispersible tablets, levofloxacin tablets, azithromycin capsules and other drugs to control infection. Viral orchitis is mainly treated symptomatically, and can be combined with ribavirin granules and other antiviral drugs. The entire course of treatment needs to be completed during the medication period to avoid repeated attacks turning into chronic inflammation. Tamsulosin hydrochloride sustained-release capsules can be used in combination with epididymitis to improve symptoms.

2. Bed rest

In the acute stage, you need to stay in bed absolutely to avoid scrotal sagging, and use a scrotal belt to reduce the feeling of swelling. Strenuous exercise or heavy physical labor is prohibited to reduce friction and irritation to the perineum. Keeping defecation unobstructed can reduce abdominal pressure. When pain is severe, you can lie on your side with your knees bent to relieve discomfort. After the symptoms are relieved, you still need to take appropriate rest for 1-2 weeks.

3. Local physical therapy

Cold compresses can reduce swelling and pain in the early stage, and hot compresses can be used after 24 hours to promote the absorption of inflammation. Wet compress the affected area with magnesium sulfate solution twice a day, and control the temperature below 50°C to avoid burns. Ultrashort wave physical therapy can be used when combined with hydrocele, and infrared irradiation can be used to improve local blood circulation in the chronic stage.

4. Surgical intervention

The formation of testicular abscess requires abscess incision and drainage, and severe purulent orchitis may require partial orchiectomy. Combined testicular torsion requires emergency surgical reduction and fixation. In case of ischemic necrosis, orchiectomy of the affected side is required. For chronic refractory orchitis, spermatic cord closure or denervation may be considered.

5. Traditional Chinese medicine conditioning

In the acute stage, you can use Longdan Xiegan Decoction to clear away heat and remove dampness, and in the chronic stage, you can use Juhe Pills combined with acupuncture. External application of Jinhuang Powder can reduce swelling and relieve pain, and external application of mashed raw rhubarb is effective for early inflammation. For dietary treatment, you can choose red bean barley porridge or plantain stewed pork belly. Avoid eating spicy and irritating foods.

During treatment, breathable cotton underwear should be worn to keep the perineum clean, and should be changed in time after daily cleaning. Sexual intercourse is prohibited during the acute phase, and the frequency also needs to be controlled after chronic symptoms are relieved. People who work sedentary jobs need to get up and move around every hour and avoid riding or horseback riding for long periods of time. The diet should be light and rich in vitamin C, and alcohol and carbonated drinks should be avoided. If symptoms such as persistent high fever, severe pain, or testicular sclerosis occur, you should return to the hospital immediately. After recovery, it is recommended to review the testicular spermatogenic function with ultrasound every 3-6 months.