Epididymitis Flashcards
1
Q
What causes epididymitis?
A
- Behcet’s disease
- Amiodarone
- Testis or epididymal tumor
- Acute bacterial inf
- Viral
- Granulomatous
- Fungal, parasitic
2
Q
How does epididymitis present?
A
- Testicular pain
- Edematous tender testicle, epididymis, spermatic cord
- +/- fever
- +/- hydrocele
3
Q
What lab tests should you perform for epididymitis?
A
urine culture
+/- STD test
4
Q
How do you tx epididymitis?
A
- Scrotal support
- Analgesia
- Cold
- Abx
- Modify activities
- Moist heat
5
Q
How do you tx epididymitis if you suspect STD related?
A
Ceftriaxone & doxy
6
Q
How do you tx epididymitis if you DON’T suspect STD?
A
Levofloxacin or Doxy
7
Q
What are surgical options for epididymitis?
A
- Testicular denervation
- Removal of sperm granuloma
- If obstruction –> vasovasostomy or epididymectomy
- If intermittent torsion –> orchiopexy
- inguinal orchiectomy
