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Infections: Orchitis, & Epididymitis
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===Management=== *'''Empirical therapy is indicated before laboratory test results are available''' **'''Anti-inflammatory agents, analgesics, scrotal support, and nerve blocks have all been recommended as empirical treatment''' *'''<span style="color:#ff0000">Acute bacterial epididymitis</span>''' **'''<span style="color:#ff0000">[https://uroweb.org/guidelines/urological-infections/chapter/the-guideline EAU Guidelines on Urological Infections]</span>''' ***'''<span style="color:#ff0000">If gonorrhea likely: ceftriaxone 1000mg IM/IV x 1 + doxycycline 200 mg initial dose by mouth and then 100 mg twice daily for ten to fourteen days</span>''' ***'''<span style="color:#ff0000">If gonorrhea unlikely (no urethral discharge): Doxycycline 200 mg initial dose by mouth and then 100 mg BID x 10-14 days plus an antibiotic active against ''Enterobacterales'' x 10-14 days</span>''' ***'''<span style="color:#ff0000">If non-sexually active: fluoroquinolone (levofloxacin) PO daily x 10-14 days</span>''' *'''<span style="color:#ff0000">Chronic epididymitis</span>''' **'''<span style="color:#ff0000">4- to 6-week trial of antibiotics that would potentially be effective against possible bacterial pathogens and particularly C. trachomatis may be appropriate.</span>''' *'''Surgical removal of the epididymis (epididymectomy) should be considered only when all conservative measures have been exhausted''' and the patient accepts that the operation will have at best a 50% chance of curing his pain
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