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How Do You Treat Acute Scrotal Pain?
Published: Jan 18, 2024
Treating acute scrotal pain effectively can prevent long-term complications. Here's a look at the different treatment strategies.
Treatment for Epididymitis
Epididymitis is often treated with antibiotics, especially when caused by infections like gonorrhea or chlamydia. Patients are usually prescribed a combination of ceftriaxone and doxycycline. In more severe cases, hospitalization and intravenous antibiotics may be needed.
Addressing Testicular Torsion
Testicular torsion requires immediate surgical intervention to untwist the spermatic cord and restore blood flow. Prompt treatment is crucial as the testicle can suffer irreversible damage within hours. Surgery also prevents future occurrences by securing the testicle in place.
Managing Fournier's Gangrene
Fournier's gangrene treatment involves aggressive surgical debridement to remove infected tissue. Patients also receive broad-spectrum antibiotics to combat the infection. This condition is a medical emergency and requires intensive care.
Frequently Asked Questions
Ceftriaxone and doxycycline are commonly used.
It is treated with urgent surgery to untwist the testicle.
It requires immediate surgical and antibiotic treatment.
The Bottom Line
Effective treatment can prevent severe outcomes in acute scrotal pain cases.
References
- Doble A, Taylor-Robinson D, Thomas BJ, et al. Acute epididymitis: a microbiological and ultrasonographic study. Br J Urol 1989; 63:90.
- St Cyr S, Barbee L, Workowski KA, et al. Update to CDC's Treatment Guidelines for Gonococcal Infection, 2020. MMWR Morb Mortal Wkly Rep 2020; 69:1911.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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