Posttraumatic orchitis: pathogenesis, treatment, prognosis

DOI: https://doi.org/10.29296/25877305-2018-10-01
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Issue: 
10
Year: 
2018

S. Yarovoy(1, 2), MD; R. Khromov(2), Professor E. Kareva(3, 4), MD 1-N.A. Lopatkin Research Institute of Urology and Interventional Radiology, Branch, National Medical Radiology Research Center, Ministry of Health of Russia, Moscow 2-D.D. Pletnev City Clinical Hospital, Moscow Healthcare Department 3-N.I. Pirogov Russian National Research Medical University, Moscow 4-I.M. Sechenov First Moscow State Medical University (Sechenov University)

The paper assesses main approaches to drug therapy for different types of posttraumatic orchitis. The most conservative therapy (analgesia, non-reserve antibacterial drugs for preventive purposes) is performed in the non-infectious type; the most active therapy (anti-Pseudomonas cephalosporins, carbapenems) is done in the infectious type, if there are no obvious positive changes during 2–3 days, orchiectomy is indicated.
Keywords: 
urology
scrotal and testicular injury
posttraumatic orchitis
emergency urological care
antibacterial therapy

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