Indicated for chlamydia and gonorrheal infections of the genital tract. A pyridine carboxylic acid derivative with broad- spectrum bactericidal effect. Usually safe but benefits must outweigh the risks. Inhibits bacterial DNA synthesis, and consequently growth. Bed rest Scrotal support Warm or cold packs for comfort Analgesics Patients with a suspected sexually transmitted disease should be referred to their private physician or local health department for HIV testing.
Sterility is rare in cases of unilateral orchitis.
An associated hydrocele or pyocele may require surgical drainage to relieve pressure from the tunica. Most cases of mumps orchitis resolve spontaneously in 3-10 d. With appropriate antibiotic coverage, most cases of bacterial orchitis resolve without complication. ED physicians must be certain that a patient presenting with acute testicular pain and edema does not have testicular torsion. Using Bedside Ultrasonography.