What follow-up outpatient care should be provided following emergency 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

Initiate treatment as discussed above.

The patient must be evaluated by a urologist within 3-7 days of presentation. This follow-up is mandatory, as a testicular tumor occasionally is the true cause of the symptoms.

The patient must receive detailed instructions for treatment, including reasons for immediate return.

Patients with epididymitis secondary to a potential sexually transmitted disease and all of their sexual contacts need referrals in order to screen and diagnose all comorbid sexually transmitted diseases, including human immunodeficiency virus (HIV) infection.

In pediatric patients with no prior urologic history and in the absence of bacteriuria, one retrospective study suggested that investigation for underlying urinary tract pathology should be carried out after the second episode. [25]


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