Which nonpharmacologic measure is part of the initial management for epididymo-orchitis?

• A. Scrotal Support
• B. Immediate surgical exploration
• C. Bed rest
• D. Oral antifungals

Answer: (A)

Initial management of epididymo-orchitis includes measures to reduce pain and swelling while starting appropriate therapy. A simple nonpharmacologic step that provides meaningful relief is scrotal support. By stabilizing the scrotum, it minimizes movement-related pain and helps limit swelling from venous engorgement, making the patient more comfortable as antibiotics and analgesics are started. This approach is safe, easy to implement, and complements medical therapy. Immediate surgical exploration is not indicated unless there is suspicion for testicular torsion or another surgical emergency. Bed rest offers little specific benefit once scrotal support is in place, and oral antifungals are a pharmacologic treatment, not a nonpharmacologic measure.