How should orchitis be treated better?

Patient's question:

Male, the left testicle is much larger than the right one, with obvious pain, making the groin uncomfortable, and lower back pain. How should orchitis be treated better?

Doctor's answer:

Orchitis is a common cause of testicular pain. There are many reasons that can lead to orchitis, such as patients with mumps, who may develop secondary orchitis, resulting in testicular pain and swelling. Gonorrhea is currently the most prevalent sexually transmitted disease, and in severe cases, it can cause orchitis, leading to testicular pain and swelling.
Treatment for orchitis:
1. Antibacterial and anti-inflammatory treatment;
2. Rest in bed, elevate the scrotum, apply local cold compresses and physical therapy; 1% lidocaine spermatic cord block to reduce pain;
3. If an abscess forms, incision and drainage should be performed! Early use of sufficient, broad-spectrum antibiotics, such as azithromycin.

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