Patient's question:
Three years, prolonged episodeDoctor's answer:
Rest in bed, elevate the scrotum, and apply local heat. If the scrotal skin is significantly swollen, use a 50% magnesium sulfate solution for to facilitate inflammation resolution. For severe pain that does not respond well to analgesics, perform an ipsilateral spermatic cord block with 10 mL of 1% procaine. Systemic medication should include broad-spectrum or Gram-negative-sensitive antibiotics, such as penicillin, gentamicin, and various cephalosporins.