- Epididymo-orchitis is an inflammation (usually unilateral) of the epididymis that can also affect the adjacent testicle.1,2
- The STIs chlamydia and gonorrhea are common causes in people aged <35 years. Enteric pathogens (eg, Escherichia coli) can be transmitted via insertive anal sex. Other causes include urinary tract pathogens.
- Recent onset pain and swelling are typical symptoms.
- Physical examination to assess the location and characteristics of the pain
- Take a urine specimen for microscopy, culture and sensitivity (mid stream) and/or first pass for chlamydia and gonorrhea nucleic acid amplification test.
- For sexually active men, initiate presumptive antibiotic treatment for gonorrhea and chlamydia.
- Click here for recommended antibiotic regimens and other management considerations.