UROLOGY
EPIDIDYMO-ORCHITIS
Middle aged man, gradual onset scrotal pain + fevers. Swollen hemiscrotum + Nut
PromptInvestigations
ResponseUrine dipstick - ? UTI as cause for epididmyo-orchitis
Urine PCR Chlamydia/gonorrhoea ?STI as cause
Renal function ? need to avoid gentamycin if AKI
USS - exclude abscess as complication of epididmo-orchitis
Urine PCR Chlamydia/gonorrhoea ?STI as cause
Renal function ? need to avoid gentamycin if AKI
USS - exclude abscess as complication of epididmo-orchitis
PromptIndications for admission in Epididmyo-Orchitis
ResponseSepsis (unwell)
Complicated by abscess
Co-morbidities decreasing cardiovascular reserve (Eg: CCF)
Severe pain
Social circumstances (homeless, unable to follow up)
Failed outpatient management
Complicated by abscess
Co-morbidities decreasing cardiovascular reserve (Eg: CCF)
Severe pain
Social circumstances (homeless, unable to follow up)
Failed outpatient management
PromptOutpatient therapy for Epididmo-Orchitis
ResponseTrimethprim 300 mg nocte for 7/7 (UTI as cause)
Ceftriaxone 500 mg IM + Azithromycin 500 mg PO now + rpt 1 wk (STI cause)
?if in doubt cover both
Ceftriaxone 500 mg IM + Azithromycin 500 mg PO now + rpt 1 wk (STI cause)
?if in doubt cover both