Patient's question:
It has been a while, and my testicles have been slightly swollen and aching. Recently, I started feeling some pain, especially when touching them, which is quite severe. It seems there is also some swelling on the outer side. I am very worried. Question: What methods can be used to treat testicular inflammation and improve it?Doctor's answer:
Orchitis is usually caused by bacteria and viruses. The testicles themselves rarely experience bacterial infections due to the rich blood and lymphatic supply, which provides strong resistance to bacterial infections. Most bacterial orchitis is actually caused by inflammation of the adjacent epididymis, which is why it is also referred to as epididymo-orchitis. If there is only testicular pain, a color Doppler ultrasound should be performed first to determine if there is any signs of edema in the testicles. If the pain is caused by testicular torsion leading to ischemic pain, immediate follow-up and surgical treatment is required. If there is no edema, most of the pain is likely caused by epididymitis, and anti-inflammatory treatment should be administered. Intermittent cold compresses can be used to promote recovery.