What Antibiotics Can be Used for Orchitis

The testis is one of the most important reproductive organs for men, where they store sperm, and they are vulnerable to bacteria and viruses. Orchitis can be caused by bacteria or viruses, but it can also be caused by non-infectious inflammation. 

 

Non-infectious orchitis can be caused by surgical trauma, vasectomy, cryptorchidism and other inflammatory reactions of the testicle itself. Additionally, testicular location has rich blood and lymphatic supply, therefore, in addition to direct spread through the vas deferens or epididymis, testicular inflammation can also be caused by hematogenous and lymphatic infection.
 

 

The clinical manifestations of orchitis can be divided into chronic non-specific orchitis, acute non-specific orchitis and acute mumps orchitis.  

 

1. Chronic nonspecific orchitis
 

Chronic orchitis is often caused by incomplete treatment of non-specific acute orchitis, and can also be caused by fungal, treponema, parasitic infections, such as testicular syphilis. 

 

2. Acute nonspecific orchitis
 

Acute nonspecific orchitis mainly occurs in patients with urethritis, cystitis, prostatitis, prostatic hyperplasia after resection and with a long-term indent catheter. The infection spreads through the lymphatic or vas deferens to the epididymis, causing epididymal orchitis. Common pathogenic bacteria are escherichia coli, proteus, staphylococcus and pseudomonas aeruginosa. However, testicular blood supply is abundant and has strong resistance to infection, so this situation is rare.
 

 

3. Acute mumps orchitis
 

Mumps is the most common cause of orchitis. About 20% of mumps patients are complicated with orchit, more common in late adolescence.  Testicles are found to be heavily swollen and purple-blue .

 

 What antibiotics can be used to treat orchitis?

 

1. Azithromycin. Patients with localized orchitis may take azithromycin for treatment at ordinary times, the drug has a very good effect on anti-inflammation and the patients must pay attention to rest, not too frequent sex, and the scrotum can be pulled up when pain is present to get certain relief.
 

 

2. Cephalosporin anti-inflammatory drugs. Such as: cefixime has a very good therapeutic effect, and when the patient suffers from swelling and pain again, cold compress can also be applied, which has a relieving effect. Patients are suggested to adopt a light diet, avoid spicy food, and eat more fresh vegetables and fruits.

 

3. Ceftriaxone. Male suffering from orchitis can be treated with intravenous drip of ceftriaxone, which has a certain therapeutic effect. They must try to eat less-spicy food, take more rest,  try to keep perineum clean and so on.

 

For chronic orchitis, the application of antibiotics is not enough, therefore, patients could choose natural herbal medicine which does not produce side effects or drug resistance. For example, Diuretic and Anti-inflammatory Pill, it has the effect of clearing heat and detoxifying, promoting blood circulation and removing blood stasis, thus to relieve pain and eliminate testicular inflammation.