EPIDIDYMITIS
PROBLEM
Epididymitis is infection of the gland behind the testicle that stores and carries sperm. This may be a sudden or chronic problem. Discomfort should go away in 1 to 3 days. Swelling of the scrotum may be present for up to 8 weeks.
CAUSE
It is usually caused from a bacterial infection. The Escherichia coli bacteria is a common cause source of infection; epididymitis is often caused by a urinary tract infection (UTI), or possibly from a sexually transmitted infection.
PREVENTION
A.Prevent UTIs with good hygiene:
1.Keep your penis and scrotum clean.
2.Clean under foreskin if uncircumcised.
3.Wash your hands after each time you go to the bathroom (both urine and bowel movements).
B.Limit your sexual partners and use a condom to prevent all types of infection.
TREATMENT PLAN
A.Try one of the following comfort measures:
1.Intermittent cold compresses for acute swelling and pain relief. Do not leave an ice pack on the skin for longer than 20 minutes, and don’t use it more often than once every hour.
2.Local heat or sitting in warm bath water also help relieve the initial discomfort.
B.Use an athletic supporter or elevate scrotum on a small rolled washcloth.
C.When the pain is better, wearing brief underwear will support the scrotum and can help with the pain.
D.Your sexual partner(s) need(s) to be treated for sexually transmitted disease.
Activity:
A.Rest; do not engage in strenuous activity or heavy lifting.
B.Avoid sex until you finish the antibiotic.
Diet:
A.It is important that you drink plenty of fluids.
B.Avoid foods that irritate the bladder: Caffeine, alcohol, and spicy foods.
Medications:
A.Antibiotics are used to kill bacteria causing infection.
B.Take all of the antibiotics prescribed for you; do not stop taking drugs after symptoms are gone.
C.Do not share your antibiotics with your sex partner(s); a full prescription of antibiotics is needed for both of you to get better.
D.Take anti-inflammatory drugs such as acetaminophen (Tylenol) or ibuprofen as needed for discomfort.
E.You may be prescribed a pain medication only for a short period of time.
You Have Been Prescribed the Following Antibiotic: ___________________________________________________________
You Need to Take: ___________________________________________________________
Finish all of the antibiotics, even if you feel better.
You Have Been Prescribed the Following for Pain: ___________________________________________________________
You Need to Take: ___________________________________________________________
You Need to Notify the Office If:
A.You have a great increase in pain or swelling in the scrotum after going home.
B.You have worsening symptoms after starting the antibiotics.
C.You have discharge from your penis.
D.You have pain during ejaculation.
E.You have fever over 100.4°F.
E.Other: ___________________________________________________________
Phone: ____________________________
PATIENT TEACHING GUIDE