Epididymitis

Question 1

What is epididymitis?

Answer 1

Inflammation of the epididymis - a coiled tube that stores and carries sperm in the back of the testicle , often caused by infection.

Question 2

What are the common symptoms of epididymitis?

Answer 2

Scrotal pain, swelling, and tenderness.

Question 3

When is emergency hospital admission required?

Answer 3

For complications of hernia or epididymo-orchitis (e.g., sepsis, abscess), or haematocele from trauma.

Question 4

When should you urgently refer to a sexual health clinic?

Answer 4

If epididymo-orchitis is suspected to be due to an STI.

Question 5

What self-care is recommended for epididymitis?

Answer 5

Rest, scrotal support, and analgesia (paracetamol/NSAIDs).

Question 6

What is the treatment for STI-related epididymo-orchitis?

Answer 6

Ceftriaxone 1 g IM single dose + doxycycline 100 mg twice daily for 10–14 days.

Question 7

What if doxycycline or cephalosporins are contraindicated?

Answer 7

Use ofloxacin 200 mg twice daily for 14 days.

Question 8

What is the treatment if an enteric organism is suspected?

Answer 8

Ofloxacin 200 mg twice daily for 14 days or levofloxacin 500 mg once daily for 10 days.

Question 9

What is the treatment if both STI and enteric organisms are suspected?

Answer 9

Ceftriaxone 1 g IM + ofloxacin 200 mg twice daily for 14 days.