Anatom3D
ENCZDE
Download

Epididymitis and orchitis

Epididymitis / orchiepididymitis · Zánět nadvarlete a varlete

male only

What it is

Infection of the coiled tube behind the testis — chlamydia or gonorrhoea in young men, gut bacteria in older men.

Symptoms & signs

  • Painful swollen scrotum developing over a day or two
  • tender lump behind the testis
  • fever
  • burning on urination or discharge
  • pain eased by lifting the scrotum

🚩 Get help if…

  • call 112 / 911 now Sudden severe testicle pain, especially with vomiting: could be torsion
  • call 112 / 911 now High fever, shivering or confusion with a swollen scrotum
  • see a doctor soon Swollen, tender testicle with discharge or burning on passing urine
  • see a doctor soon No improvement after 3 days of antibiotics

Where it strikes

Medical treatment

  • Ultrasound or surgery to rule out torsion if sudden
  • ceftriaxone plus doxycycline if an STI is likely
  • ofloxacin or levofloxacin for gut bacteria
  • scrotal support, ice and NSAIDs
  • test and treat partners

Natural & lifestyle

  • Rest and scrotal elevation
  • condoms
  • treat urinary obstruction (prostate)

Emerging & experimental

  • Rapid molecular STI panels
  • shorter antibiotic courses

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Herbal cold compresses (arnica, chamomile) — soothing; untested anecdotal / traditional
  • Cranberry juice — no role; this needs antibiotics anecdotal / traditional

ICD codes