Posttraumatic orchitis: pathogenesis, treatment, prognosis

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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.

scrotal and testicular injury
posttraumatic orchitis
emergency urological care
antibacterial therapy

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