Treatment depends on the cause of orchitis.
Treating bacterial orchitis
Antibiotics are needed to treat bacterial orchitis and epididymo-orchitis. If the cause of the bacterial infection is an STI, your sexual partner also needs treatment.
Be sure to take the entire course of antibiotics prescribed by your doctor, even if your symptoms ease sooner, to ensure that the infection is gone.
It may take several weeks for the tenderness to disappear. Resting, supporting the scrotum with an athletic strap, applying ice packs and taking pain medication can help relieve discomfort.
Treating viral orchitis
Treatment is aimed at relieving symptoms. Your doctor may recommend:
- Nonsteroidal anti-inflammatory drugs, such as ibuprofen (Advil, Motrin IB, others) or naproxen (Aleve, others)
- Bed rest and elevating your scrotum
- Cold packs
Most people with viral orchitis start to feel better in three to 10 days, although it may take several weeks for the scrotal tenderness to disappear.
Treating idiopathic orchitis
Your doctor may recommend antibiotics and anti-inflammatory medications.
Sep. 09, 2014
- Ferri FF. Ferri's Clinical Advisor 2015: 5 Books in 1. Philadelphia, Pa.: Mosby Elsevier; 2015. https://www.clinicalkey.com. Accessed July 18, 2014.
- AskMayoExpert. What are the causes or types of scrotal masses? Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2013.
- Wein AJ, et al. Campbell-Walsh Urology. 10th ed. Philadelphia, Pa.: Saunders Elsevier; 2011. http://www.clinicalkey.com. Accessed July 22, 2014.
- AskMayoExpert. What evaluation and treatment are indicated for orchitis as a cause of pediatric testicular or scrotal pain? Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2014.
- Eyre RC, et al. Evaluation of the acute scrotum in adults. http://www.uptodate.com/home. Accessed July 18, 2014.
- Schaeffer AJ. Complications of urinary bladder catheters and preventive strategies. http://www.uptodate.com/home. Accessed July 18, 2014.
- Castle EP (expert opinion). Mayo Clinic, Phoenix, Ariz. Aug. 13, 2014.
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