Doctor insights on:
Best Orchitis Program
Aside from ciprofloxacin, what is the next best quinolone for cases of bacterial orchitis that cipro may not cover the bacteria?
See below: Before culture results:One injection in muscle of 250-500mg ceftrioxone+azithromyci 1gm by mouth(or doxycycline 100mg 2Xdaily for 1-2wks) In men older than 35 with recent instrumentation or UTI and no suspicion of STD:Ciprofloxacin or levofloxacin or trimethoprim-sulfamethoxazole. ...Read more
Ultrasound first: First you have to diagnose the cause of orchitis. I would first order a trsticular ultrasound . If caused by hyrocoele or varicocoele, then can be surgically removed. If it is caused by testicular cancer, that would require removing the testes and radiation with sometimes estrogen hormone treatment. If ultrasound negative, it could be inhumanly hernia requiring surgery. Other cause is groin strain. ...Read more
Depends on cause: Mild cases sometimes resolve on own, but better to get checked and treated rather than prolong duration of painful symptoms. In boys may be due to mumps; in slightly older guys usually due to std that may also involve epididymis; later it can be bacterial std or a viral infection (or trauma). Antibiotics if bacterial; nsaids, support, cool compresses. ...Read more