When is inpatient care indicated for the treatment for acute epididymitis?

Updated: Apr 04, 2018
  • Author: Michelle DiMare, MD; Chief Editor: Barry E Brenner, MD, PhD, FACEP  more...
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Answer

Answer

Most cases of epididymitis can be managed on an outpatient basis. However, admit the patient for parenteral therapy if any of the following are present:

  • Intractable pain

  • Nausea or vomiting that interferes with oral therapy

  • Clinical evidence of an abscess (or inability to rule out an abscess)

  • Signs of toxicity or possible sepsis

  • Failure to improve during initial 72 hours of outpatient management

  • Immunocompromised patient with significant signs or symptoms


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