How can orchitis be effectively treated?

Patient's question:

For the past few months, I've been experiencing pain in my testicles, accompanied by pain in the inner thigh. Sometimes my legs also feel weak. Could this be testicular inflammation? I want to ask what are the symptoms of testicular inflammation, and what should I do if the symptoms of testicular inflammation reappear? What kind of help would you like: How can testicular inflammation be effectively treated?

Doctor's answer:

Orchitis is a common inflammation of the male reproductive system, which can be caused by various septic factors leading to orchitic lesions. It can be classified into types such as non-specific, viral, fungal, spirochetal, parasitic, traumatic, chemical, and others. The transmission pathways are primarily hematogenous and lymphatic, but it can also spread from the urethra, seminal vesicle, vas deferens, or epididymis to the testes.
Treatment:
1. Antibacterial and anti-inflammatory therapy;
2. Bed rest, elevating the scrotum, local cold compresses, and physical therapy; 1% lidocaine spermatic cord block anesthesia to reduce pain;
3. If an abscess forms, incision and drainage should be performed.
Principles of medication use:
Early use of sufficient, broad-spectrum antibiotics, such as azithromycin.

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