Patient's question:
I recently have pain and itching in my testicles. When I went to the hospital for a check-up, I was diagnosed with orchitis. How should orchitis be treated?Doctor's answer:
Orchitis can lead to a decline in male sexual function, and in severe cases, complete loss of sexual function, causing difficulties in intimate relationships. Orchitis often recurs in cases of urethritis and cystitis. Common pathogens include Escherichia coli, Proteus, Staphylococcus, Enterococcus, and Pseudomonas aeruginosa. Transmission routes are primarily divided into hematogenous transmission, direct transmission, and lymphatic transmission. Clinical diagnosis primarily manifests as pain, groin and lower abdominal reflexes, accompanied by chills, high fever, and gastrointestinal symptoms. It is also necessary to rule out epididymitis, where the boundaries between the epididymis and testis become unclear, the epididymis becomes hardened, and the vas deferens becomes thickened. If any issues are detected, it is important to seek medical attention promptly. After identifying the underlying cause, targeted treatment should be administered to avoid delaying the condition.