Investigations

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Infectious disease

Acute epididymitis

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microbiological work-up depends on the pathomechanism suspected (1,2):

in younger men with a medical history of urethral discharge

analysis for C. trachomatis, Mycoplasma and N. gonorrhoeae in urethral smears and first voided bladder urine is predominant

in older men - mid-stream urine - microscopy, culture and sensitivity

plain abdominal film - to exclude urinary tract calculi as possible source of infection

IVU or ultrasound - indicated in young children to exclude urinary tract anomalies, or in adults to exclude bladder outflow obstruction

 Ludwig M. Diagnosis and therapy of acute prostatitis, epididymitis and orchitis.Andrologia. 2008 Apr;40(2):76-80.

(2) Naber KG et al. EAU guidelines for the management of urinary and male genital tract infections. Eur Urol 2001;40:576-588 (updated 2006).

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Investigations

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