STI-related Scrotal Swelling

exp date isn't null, but text field is

Cause

  • Chlamydia trachomatis
  • Neisseria gonorrhoea
  • Treponema pallidum (very rarely)

Symptoms

  • Scrotal swelling
  • Scrotal pain
  • Urethral discharge
  • Dysuria
  • Frequency of micturition
  • Fever

Signs

  • Scrotal swelling, oedema and/or erythema
  • Scrotal tenderness
  • Urethral discharge
  • Fever

Investigations

  • Urethral swab for culture
  • Urine culture and sensitivity
  • Ultrasound scan of the scrotum

TreatmentTreatment Objectives

  • To provide pain relief
  • To identify and treat STI and non-STI related causes appropriately
  • To treat for gonorrhea and chlamydia simultaneously 

Non-pharmacological treatment

  • Bed rest
  • Scrotal support until inflammation and fever subside

Pharmacological Treatment

Evidence Rating: [C]

For Gonorrhoea

  • Ceftriaxone, IM, 250 mg stat.

Or

  • Cefixime, oral, 400 mg stat.

Or

  • Ciprofloxacin, oral, 500 mg stat.

And

For Chlamydia

  • Doxycycline, oral, 100 mg 12 hourly for 7 days

Or

  • Tetracycline, oral, 500 mg 6 hourly for 7 days

Or

  • Azithromycin, oral, 1 g stat.

Or

  • Erythromycin, oral, 500 mg 6 hourly for 7 days