All of the following are true about gonococcal epididymitis, EXCEPT
(D) Immediate surgical intervention is needed # EPIDIDYMITIS is inflammation of the collecting tubules that lie behind the testes in the scrotum.> Inflammation of the epididymis is often associated with an inflammation of the urethra or of the testes, a so-called orchitis. A well-known cause of epididymo-orchitis is mumps. In severe cases it may lead to loss of function of the affected test s.> Other forms of epididymitis may be classified as gonococcal and non-gonococcal. The former arises after the urethritis caused by the sexually transmitted gonococcus bacteria has subsided.> Treatment: Ceftriaxone 250 mg IM once PLUS doxycycline 100 mg PO bid x 10d. Allergy to cephalosporins: N. gonorrhoeae resistance rates to fluoroquinolone antibiotics have increased to >25% in some U.S. cities and are no longer recommended for use in treatment of gonococcal infections at any site. For patients with a history of cephalosporin allergy consultation with a specialist is recommended for allergy testing and desensitization, if needed, prior to treatment with a cephalosporin. Spectinomycin has not been demonstrated to achieve adequate tissue penetration in treatment of gonococcal epididymitis and cannot be recommended.
Antibiotics
Anti inflammatories
Surgery after infection subsided
Immediate surgical intervention is needed
Miscellaneous