Testicular inflammation treatment

Inflammation of the testicles and/or epididymis with swelling and pronounced pain requires bed rest and elevation of the scrotum with temporary cooling for several days, regardless of the cause. In addition, anti-inflammatory drugs (NSAIDs such as ibuprofen) help to reduce swelling and pain.

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.

Responsible senior physician

Daniel Eberli, Prof. Dr. Dr. med.

Director of Department, Department of Urology

Tel. +41 44 255 54 01
Specialties: Prostate cancer: 3D prostate biopsies (MRI fusion, stereotactic), DaVinci robotics and laparoscopy, HIFU (High Intensity Focused Ultrasound), Robotic surgery (kidney and bladder), Treatment of benign prostate enlargement

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University Hospital Zurich
Department of Urology
Frauenklinikstrasse 10
8091 Zurich

Tel. +41 44 255 54 40
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Responsible Department