Epididymitis acutaN45.9
Synonym(s)
Acute epididymitis; Epididymitis
DefinitionThis section has been translated automatically.
Mostly an infection of the epididymis, usually followed by urethritis, often in gonorrhoea.
PathogenThis section has been translated automatically.
Mainly Neisseria gonorrhoeae or Chlamydia trachomatis.
Clinical featuresThis section has been translated automatically.
Sudden, severe pain in the testicles, fever. Mostly unilateral, pressure-painful enlargement of the epididymis, highly red, shiny skin.
LaboratoryThis section has been translated automatically.
Leukocytosis, urine sediment: leukocytes, bacteria, elevated non-specific inflammation markers (CRP).
Differential diagnosisThis section has been translated automatically.
General therapyThis section has been translated automatically.
Cooperation with the urologist. Bed rest for a few days, testicular elevation with a testicular bench or elevation of the testicles with a wide plaster band (attached to both thighs). Moist compresses with physiological saline solution, cooling.
Internal therapyThis section has been translated automatically.
- Immediate, high-dose antibiotic administration with cephalosporins such as ceftriaxone (Rocephin) 250-500 mg i.v. combined with doxycycline (e.g. Doxy-Wolff) 2 times/day 100 mg p.o. for at least 8-10 days
- Alternatively broad-spectrum antibiotics ( gyrase inhibitors) such as Ofloxacin (Tarivid) 2 times/day 300 mg p.o. for at least 8-10 days.
- Alternatively penicillin 10 mega/day i.v. (e.g. penicillin Grünenthal) combined with tetracyclines (e.g. Achromycin Filmtbl.) 4 times/day 250 mg.
Operative therapieThis section has been translated automatically.
If necessary, opening with purulent melting.
Progression/forecastThis section has been translated automatically.
Healing within 6-8 days under specific treatment.
Cave! Epididymitis chronica