Can orchitis symptoms heal on their own?

Orchitis cannot heal itself after it occurs. People should find appropriate medicines for treatment in the early stages of the disease. If the patient has a mild case, he does not need to be treated with oral medications, because many oral medications will cause more or less harm to the body. Instead, he should take external medications, such as some antibiotic ointments, which can have an anti-inflammatory and analgesic effect.

1. Bacterial orchitis

Rest in bed, lift the scrotum, and apply local hot compress. If the scrotal skin is obviously swollen, apply 50% magnesium sulfate solution for hot compress to help the inflammation subside. If the pain is severe and the painkillers are not effective, the spermatic cord on the affected side can be closed. Systemic medication should be broad-spectrum or Gram-negative antibiotics, such as penicillin, gentamicin, and various cephalosporins.

2. Chronic nonspecific orchitis

Bilateral chronic orchitis can often cause infertility. Treatment is mainly aimed at the cause of chronic orchitis.

3. Mumps orchitis

(1) Antibiotics are ineffective for this disease, so symptomatic treatment is the main approach.

(2) The use of adrenocortical hormones has a clear therapeutic effect on patients in the recovery stage.

(3) 1% lidocaine low spermatic cord closure can improve testicular blood flow and protect spermatogenesis.

(4) In addition to being effective in treating acute mumps orchitis, interferon also has a significant effect in preventing testicular atrophy.

4. Treatment of testicular pain

Symptomatic treatment should be carried out on the basis of determining the cause. If the cause cannot be found for the time being, symptomatic treatment such as sedation and analgesia can be used. If necessary, spermatic cord procaine closure therapy can be used.

1. Chronic nonspecific orchitis

Chronic orchitis is mostly caused by incomplete treatment of non-specific acute orchitis. It can also be caused by fungal, spirochetal, or parasitic infections, such as testicular syphilis. Patients with previous testicular trauma may develop granulomatous orchitis. Local or whole-body radioactive isotope phosphorus irradiation of the testicles can also cause orchitis and damage the testicular tissue.

2. Acute nonspecific orchitis

Acute non-specific orchitis often occurs in patients with urethritis, cystitis, prostatitis, after prostatectomy and with long-term indwelling catheters. The infection spreads to the epididymis through the lymph or vas deferens, causing epididymal orchitis. Common pathogens are E. coli, Proteus, Staphylococcus and Pseudomonas aeruginosa. Bacteria can spread to the testicles through the bloodstream, causing simple orchitis. However, the testicles have rich blood supply and strong resistance to infection, so this situation is relatively rare.

3. Acute mumps orchitis

Mumps is the most common cause of orchitis. About 20% of mumps patients have orchitis, which is more common in late adolescence. The testicles are highly enlarged and purple-blue in color.