Video:How to Treat Orchitis

Transcript:How to Treat Orchitis

I'm Dr. Bob Lahita, Chairman of Medicine at Newark Beth Israel Medical Center and Professor of Medicine at the University of Medicine and Dentistry of New Jersey. This segment is called the treatment of orchitis.

What is Orchitis?

Basically orchitis, as mentioned in another segment, is really the result mostly of infection. It can be viral, such as in the case of mumps, or more commonly bacterial. Orchitis can result from a condition called epididimytus - the epididymus are a series of tubules where the sperm is made in a testicle, and these tubules can be infected by a patient who has chronic prostetitis, a patient who has gonnorhea, or a patient who has something called a microplasmal infection, or a chlalymdial infection.

Treating Orchitis

The treatment of the infectious forms of orchitis are antibiotics. Commonly orchitis is treated with the sulfa drugs or quinolones. The medical provider will decide which antibiotics are indicated based on what the cause of the orchitis is suspected to be.

Other forms of orchitis that can be treated are something called Fourniers Disease, which is a severe infection of the area beneath the scrotum which can involve the scrotum and can actually cause gangrene which is very serious. That usually has to be treated with hospitalization: the testes are placed at rest and intravenous antibiotics are given to cover the infectious process.

Finally, tortion testes which is twisting of the vasculature and the testes itself internally causes severe pain and inflammation or trauma to the testicles in either a motor vehicle crash or being hit with an object in the testicles may require surgical intervention.

For more information about this condition, go to About.com.