Painful Scrotal Swelling (PSS)

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PSS is the inflammation of the epididymis and testis, often accompanied with scrotal pain, swelling  and tenderness. It is also known as epididymorchitis. 

Causes 

• Neisseria gonorrhoea and  
• Chlamydia trachomatis 

Clinical Presentation 

• Scrotal pain
• Scrotal swelling and tenderness 
• Scrotal oedema  
• Fever

Note: Among the common complications of painful scrotal swelling include infertility and scrotal abscess

Investigation(s) if the HF has a laboratory capable of doing:  

• Gram stain  
• Culture and Sensitivity 
• ELISA 
• Quantitative or qualitative PCR
• Genetic sequencing

Management and Treatment of PSS (see flow chart 12.4)