Patient's question:
What should I do if there are nodules in the testicles?Doctor's answer:
This seems to be orchitis. In adults, it is often caused by the direct spread of epididymitis to the testicles or through hematogenous infection. Clinically, it is commonly referred to as epididymo-orchitis. The diagnostic criteria include:1. High fever, chills, and testicular pain.
2. Local scrotal redness and swelling, with testicular enlargement.
3. Elevated white blood cell count. It is recommended to get an ultrasound for confirmation.
Treatment includes:
1. Antibacterial and anti-inflammatory therapy. Early use of sufficient, broad-spectrum antibiotics, such as a combination of cephalosporins and quinolones.
2. Bed rest, elevating the scrotum, local heat application, and physical therapy. A 1% lidocaine spermatic cord block injection can help relieve pain.
3. If an abscess forms, it must be drained surgically.
Wishing you a speedy recovery.