Epididymitis
Is the infection of the epididymis that usually descent
from an infected prostate or urinary tract. It can
develop as a complication of gonorrhoea
Causes of epididymitis
• STI( gonorrhoea and chlamydia are most common)
• Urine in the epididymis
• Trauma
• Other infections
Signs and symptoms
• Soreness in the inguinal canal
• Unilateral Pain
• Discharge from the urethra
• Pain during intercourse and ejaculation
• Fever
• Dysuria
Risk Factors
• History of STI
• History of UTI
• Uncircumcised penis
• History of an enlarged prostate
• Presence of a chronic indwelling urinary catheter
Diagnostic test
• Urinalysis
• CD4 count
• Urethral culture
Pharmacological treatment
• Ceftriaxone
• Doxycycline
• Paracetamol
• CEFTRACZONE:It inhibits bacterial cell wall
synthesis leading to bacterial death
• CONTRAINDICATION: Allergies,renal
impairment,liver disease,gall bladder diseases
• SIDE EFFECTs: nausea, diarrhoea,coming,
abdominal pain, flatulence
• INDICATION: epididymitis ,meningitis,utinar Trac
infection, sexual transmited infection, typhoid fever
• Doxycycline treat,and stops growth of bacteria.
• CONTRA INDICATION
• Kidney and liver problems
• Hypersensitivity of Doxycycline
• Pregnant woman
• Autoimmune disease and lupus
• Side effects
• Headache,nausea,vomiting
• INDICATION: Urethritis,
epididymitis,acne,anthrax,malaria
Nursing management
• Local heat or sitz bath
• Bed rest for comfort
• Intermittent cold compressions to the scrotum
• Avoid strainous activities
• Antimicrobial ointments
• Analgesic Medications
Complications
• Abcess in the scrotum
• Infertility
• Hydrocele
• Epididymo-orchitis