Epididymitis acuta N45.9

Mostly an infection of the epididymis, usually followed by urethritis, often in gonorrhoea.

Mainly Neisseria gonorrhoeae or Chlamydia trachomatis.

Sudden, severe pain in the testicles, fever. Mostly unilateral, pressure-painful enlargement of the epididymis, highly red, shiny skin.

Leukocytosis, urine sediment: leukocytes, bacteria, elevated non-specific inflammation markers (CRP).

Testicular torsion, testicular tumors, hydrocele, varicocele, dermatocele.

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.

• 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.

If necessary, opening with purulent melting.

Healing within 6-8 days under specific treatment.

Cave! Epididymitis chronica