Epididymo-Orchitis

Question 1

what is epididymo-orchitis?

Answer 1

infection of the epididymis +/- testes

Question 2

what are the common causative organisms seen in epididymo-orchitis?

Answer 2

genital tract causes: younger adults
* chlamydia trachomatis
* neisseria gonorrhoeae

bladder: older adults
* e. coli

Question 3

what are the features of epididymo-orchitis?

Answer 3

• unilateral testicular pain and swelling
• urethral discharge

Question 4

what factors suggest testicular torsion?

Answer 4

• patients <20 years old
• severe pain
• acute onset

Question 5

what investigations are typically done in a young adult with epididymo-orchitis?

Answer 5

STI screen

Question 6

what investigations are typically done in a older adult with epididymo-orchitis?

Answer 6

mid-stream urine (MSU) for microscopy and culture

Question 7

what is the management of epididymo-orchitis likely to be caused by STI?

Answer 7

advise urgent referral to STI clinic

Question 8

what is the management of epididymo-orchitis likely to be caused by enteric organisms?

Answer 8

oral quinolone for 2 weeks (e.g. ofloxacin)