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Drug Treatment for Orchitis

Orchitis is a very common male disease in men. It is usually treated according to different situations. Most of them are conservative treatment, and they do not need to be operated completely.
 
Acute orchitis
 
Antimicrobial medication is the main treatment. When the pathogen is not clear, the drug can be used according to experience; after the corresponding test results are clear, the sensitive antibiotics should be selected according to the bacterial culture and drug sensitivity results. Commonly used drugs include aminoglycosides, ampicillin, cephalosporins, quinolones, etc.
 
In the experience of drug use, the preferred antimicrobial agents for orchitis caused by different infection routes are also different. The specific drug type, usage, and dosage should follow the doctor's advice.
 
STI orchitis
 
The first choice is the intramuscular injection of ceftriaxone, combined with oral doxycycline, which usually takes 10-14 days. When the treatment effect of the first choice drug is not good, or it can not be used because of allergy and other factors, the next choice of ofloxacin or levofloxacin, respectively, needs to be used for 14 days and 10 days.
 
Orchitis secondary to intestinal flora infection
 
Generally, ofloxacin and levofloxacin can be taken orally for 14 days and 10 days, respectively.
 
Chronic orchitis
 
The course of the disease is generally long, and the corresponding antibiotics can be given after the types of pathogens are identified.

Prognosis
 
The course of the disease is long, and long-term follow-up is needed after treatment. Different causes of orchitis, different treatment, the prognosis is also different. The return period of Chlamydia is 6 months, gonococcus is 2 months, Mycoplasma in the genital tract is 3 months, and the rest of the remaining pathogens are usually 2 months.
 
 
If the symptoms of the patients do not improve significantly after 3 days of treatment, clinical evaluation and diagnosis should be carried out again to adjust the treatment plan and exclude the possibility of a testicular abscess, testicular necrosis, epididymal testicular tumor. If necessary, surgical exploration can be carried out.

For gonococcal orchitis, bacterial culture should be carried out again within 3 days after treatment. Within 2 weeks, we need to evaluate the compliance of patients with treatment, whether the symptoms improve or not, and the partner informed us that if the symptoms of patients do not improve, re clinical analysis is needed.
 
The nucleic acid amplification test should be carried out again 2 weeks after the treatment of gonococcal orchitis. If it is secondary to chlamydia or mycoplasma infection, it should be rechecked within 4 weeks after treatment.
 
All patients with confirmed or suspected STIs need blood sampling to screen for STIs.
 
All patients with urinary tract infections should go to the urology department for a consultation so as to eliminate the structural abnormality and obstruction of the urinary tract.

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