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