Acute testicular pain
- Urological Emergency and requires surgical correction within 6 hours.
- Features of torsion:
- Sudden onset of severe pain radiating to the groin.
- Associated nausea, vomiting.
- Difficult to examine due to pain.
- Testis high, abnormal alignment.
- Testis tender and swollen when compared to other side.
- Features of epididymo-orchitis:
- Usually more gradual onset than torsion.
- Tender swollen epididymis, testis less tender.
- If young, screen for STI. If older, usually related to BPH.
- Treat infection with a 4 week course of antibiotics; Doxycycline if younger than 35yrs. Norfloxacin if older than 35yrs.
- Note that it takes days for the pain to settle and weeks for the swelling to settle.
- Refer if septic, or if no improvement on oral antibiotics.
Last updated : Friday, August 21, 2015
Next review date : Saturday, August 20,2016
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