Patient's question:
Please teachers, what kind of medicine should be taken for orchitis or epididymitis to achieve the best treatment? Can you explain it in detail? Thank you!Doctor's answer:
Testicular Inflammation [Overview] Adult infection is primarily caused by the direct spread of epididymitis to the testis or hematogenous infection. Clinically, it is often referred to as epididymo-testitis. The main causative pathogens are Escherichia coli, Staphylococcus, and Streptococcus. Acute testicular inflammation in children is commonly caused by the mumps virus. [Symptoms and Signs] 1. Patients experience high fever, chills, testicular pain radiating to the groin, often accompanied by nausea and vomiting; 2. Redness and swelling of the scrotal skin, testicular enlargement, often accompanied by hydrocele. [Diagnostic Criteria] 1. High fever, chills, testicular pain; 2. Localized scrotal redness and swelling, testicular enlargement; 3. Elevated white blood cell count. [Treatment Principles] 1. Antibacterial and anti-inflammatory treatment; 2. Bed rest, elevating the scrotum, local heat application, and physical therapy; 1% lidocaine spermatic cord block injection to reduce pain; 3. If an abscess forms, incision and drainage should be performed. [Efficacy Evaluation] 1. Cured: Symptoms disappear, white blood cell count returns to normal, testicular atrophy is absent, and hydrocele is not present. 2. Improved: Symptoms improve, testicular enlargement is slight, and tenderness is present. 3. Unresolved: Symptoms and signs do not improve, testicular enlargement or atrophy occurs, or a testicular abscess and hydrocele form. [Expert Tips] Testicular inflammation should be treated with early intravenous administration of large doses of broad-spectrum, effective antibiotics to control inflammation and reduce the occurrence of purulent testicular inflammation and testicular abscesses. Particular attention should be paid to acute mumps-related testicular inflammation, as bilateral involvement can cause irreversible damage to spermatogenesis or even testicular atrophy, leading to male infertility. Therefore, the key to preventing this condition is: 1-year-old susceptible children can be vaccinated. The use of live attenuated mumps virus vaccine can prevent mumps and its associated testicular inflammation. Mumps hyperimmune globulin can reduce the severity of the disease. The routine use of estrogen or adrenal corticosteroids may have a preventive effect against testicular inflammation in children with mumps, but this is still debated. Source: Fei Hua Health Care Network |