Epididymoorchitis medical therapy
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dima Nimri, M.D. [2]
Overview
Medical Therapy
Management of epididymoorchitis consists mainly of conservative measures, including:[1][2][3]
- Bed rest and limitation of physical activity
- Use of cold packs
- Analgesia
- Non-steroidal anti-inflammatory drugs (NSAIDs)
In addition, appropriate antibiotic therapy should be initiated if the cause of epididymoorchitis is bacterial. However, it is not necessary if the underlying etiology is mumps orchitis or other viral epididymoorchitis. The CDC recommends the following anti-bacterial regimens:[3][4]
- If the cause is sexually transmitted (C. trachomatis or N. gonorrhea): Ceftriaxone 250 mg IM in single dose, plus Doxycycline 100 mg orally twice daily for 10 days
- If the cause is enteric bacteria: Levofloxacin 500 mg orally once daily for 10 days or Ofloxacin 300 mg orally twice a day for 10 days
References
- ↑ Trojian TH, Lishnak TS, Heiman D (2009). "Epididymitis and orchitis: an overview". Am Fam Physician. 79 (7): 583–7. PMID 19378875.
- ↑ Stewart A, Ubee SS, Davies H (2011). "Epididymo-orchitis". BMJ. 342: d1543. PMID 21490048.
- ↑ 3.0 3.1 Tracy CR, Steers WD, Costabile R (2008). "Diagnosis and management of epididymitis". Urol. Clin. North Am. 35 (1): 101–8, vii. doi:10.1016/j.ucl.2007.09.013. PMID 18061028.
- ↑ Centers for Disease Control and Prevention https://www.cdc.gov/std/treatment/2010/epididymitis.htm. Accessed on Dec. 27, 2016