If we suspect a bacterial cause, antibiotic therapy is also necessary. If it is a sexually transmitted pathogen, the sexual partner should also be examined and possibly undergo therapy. Antibiotics do not help with viral pathogens. Vaccination is the only way to prevent virus-transmitted mumps orchitis, which often has serious consequences for fertility. If inflammation of the testicles and/or epididymis leads to an accumulation of pus or if the inflammation occurs repeatedly, surgical treatment may be necessary.
Procedure
The first step is a brief consultation to determine the possible causes of the inflammation of the testicles and/or epididymis. To rule out a bacteriological disease, we will take urine samples and, in rare cases, perform a urethral swab. If the general condition deteriorates or to rule out sexually transmitted diseases such as HIV or hepatitis, we also recommend a blood test. A physical and ultrasound examination round off the doctor’s visit.
The therapy usually takes place on an outpatient basis. Patients with pronounced findings on the testicles and/or epididymis, including However, patients with elevated signs of inflammation in the blood require hospitalization for a few days for monitoring and administration of antibiotics via the vein. If a large accumulation of pus has formed or inflammation occurs repeatedly, we may have to operate. This may involve pus drainage or the removal of the testicles and/or epididymis. In some cases, cutting the vas deferens also helps to prevent a recurring infection.