Scrotal mass medical therapy

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Niloofarsadaat Eshaghhosseiny, MD[2]

Overview

Depend on the cause of testicular mass, treatment is differ.There is no treatment for tortion of testicular appendage ; the mainstay of therapy is supportive care,like using NSAID and bed rest.Testicular tortion is a medical emergency and requires prompt treatment.The mainstay of treatment for testicular cancer is radical orchectomy.The second therapy for testicular cancer depends on the stage and microscopic diagnosis.Empiric therapy for epididymitis depends on patient`s age.Depends on the amount of fluid , treatment of hydrocele is vary from pharmochological to surgery.

Medical Therapy

  • Pharmacologic medical therapies for tortion of tessticular appendage include NSAID and bed rest.[1]
  • Empiric therapy for epididymitis depends on patient`s age .[1]

Disease Name

  • Epididymitis

Patients 14-35 yearrs old :

  • Ceftriaxon 250mg single dose intramusculary, and
  • Doxycycline 100mg orally twice daily for 10 days, Or
  • Azithromycine 1gr single dose orally

patients younger than 14 or older than 34 , or patients is allergic to cephalosporins or tetracyclines :

  • Ofloxacin 300mg orally twice daily for 10 days, or
  • Levofloxacin 500mg orally once daily for 10 days.[2]

References

  1. 1.0 1.1 OʼReilly P, Le J, Sinyavskaya A, Mandel ED (2016). "Evaluating scrotal masses". JAAPA. 29 (2): 26–32. doi:10.1097/01.JAA.0000476208.04443.ca. PMID 26757064.
  2. Trojian TH, Lishnak TS, Heiman D (2009). "Epididymitis and orchitis: an overview". Am Fam Physician. 79 (7): 583–7. PMID 19378875.

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