Patient's question:
In the morning when getting up or transitioning from a seated to a standing position, the testicles feel as if something is pulling and causing pain, but it improves a bit after a while. There is no pain when standing or walking. After checking at the hospital, the doctor recommended using heat therapy to reduce the pain, and then I could consider surgery. After applying heat at home for the past two days, the pain has almost disappeared. Should I still consider surgery? The onset of symptoms was two weeks ago, and the cause is unclear.Doctor's answer:
Medical Analysis: Hello! Orchitis can be cured as long as timely, systematic, and effective treatment is provided after the condition is detected, preventing testicular damage. If you only have acute orchitis and not testicular cancer, surgery may not be necessary.Advice: Rest in bed, elevate the scrotum, and apply local heat. If the scrotal skin is significantly swollen, use a 50% magnesium sulfate solution for (hot and moist compress) to help reduce inflammation. Early intravenous administration of large doses of broad-spectrum, effective antibiotics, such as azithromycin, should be used to control inflammation and reduce the risk of suppurative orchitis and testicular abscess. You can massage the testicles with both hands during bathing or before bed: gently squeeze the testicles with your thumb in a clockwise and counterclockwise direction for ten minutes each time. Long-term adherence to this practice will be beneficial. If you experience any unusual pain during massage, it may indicate orchitis or epididymitis, and you should seek medical attention promptly.