Epididymo-orchitis

About Epididymo-orchitis

Epididymo-orchitis is an inflammation (usually unilateral) of the epididymis that can also affect the adjacent testicle.^1,2
The STIs chlamydia and gonorrhea are common causes in people aged <35 years. Enteric pathogens (eg, Escherichia coli) can be transmitted via insertive anal sex. Other causes include urinary tract pathogens.
Recent onset pain and swelling are typical symptoms.

Diagnosis

Physical examination to assess the location and characteristics of the pain
Take a urine specimen for microscopy, culture and sensitivity (mid stream) and/or first pass for chlamydia and gonorrhea nucleic acid amplification test.

Management

For sexually active men, initiate presumptive antibiotic treatment for gonorrhea and chlamydia.
Click here for recommended antibiotic regimens and other management considerations.

For detailed information about Epididymo-orchitis, see

Australian STI Management Guidelines: Epididymo-orchitis

References

References
1. Trojian TH, Lishnak TS, Epididymitis HD. And orchitis: an overview. Am Fam Physician 2009;79:583–7.

2. Workowski KA, Bolan GA, Centers for Disease Control and Prevention. Sexually transmitted diseases treatment guidelines, 2015. MMWR Recomm Rep 2015;64:1-137.

MoCCA is funded by the National Health and Medical Research Council (APP1150014) and is a collaboration between the University of Melbourne and our project investigators and partner organisations in Victoria, New South Wales and Queensland. Click here for a list of our collaborators.

We acknowledge and pay respect to the Traditional Owners of the lands upon which this research is being conducted.

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