Summary: Urological referral usually indicated

Advice: Urological referral usually indicated.
Refer To: Any adult urologist (by generaic referral)



All children with epididymitis should be referred as emergencies to exclude torsion; they will all need full urological investigation to exclude congenital urinary tract abnormalities if a diagnosis of epididymitis is made. A diagnosis of epididymitis in children should only be made following surgical exploration to exclude torsion.

Back to Top

Young men (under 45 years)

Young men should be treated with Ciprofloxacin & Doxycycline or Ofloxacin alone for 6 weeks, modified according to urine culture. Please refer to the GenitoMedical Clinic (Clinic 1A) as soon as possible for STD screening and contact tracing.

Urological referral should in young men only be considered if symptoms have not settled following 2 weeks of appropriate treatment, if there is severe systemic upset or if there are significant lower urinary tract symptoms.

Back to Top

Older men (over 45 years)

Older men should be treated with antibiotics (e.g. Ofloxacin or Ciprofloxacin with Doxycycline).

Urine cultures should be performed and consideration given to screening for sexually-transmitted disease.

Urological referral should be considered if symptoms have not settled following 2 weeks of appropriate treatment or if there is severe systemic upset.

Consider tuberculosis if epididymitis fails to resolve or becomes chronic, especially if there is chronic abscess formation in the scrotum or discharge through the scrotal skin.

Back to Top

Special information

This page contains guidelines and advice from professional bodies, together with information about the prescription of drugs. Since all NHS hospitals have local arrangements with their Primary Care Trusts (PCTs) about which medicines can be used, some drugs mentioned cannot be prescribed by local hospitals.

Treatment of patients will be planned with the Consultant responsible for care, taking into account those drugs which are or are not available at the local hospital and what is appropriate for optimum patient care.

Healthcare professionals are advised to check prescribing arrangements with their local hospital or PCT.

Back to Top

Back to Top

The cookie setting on this website is set to ‘allow cookies’ to give you the very best experience.

If you continue without changing this setting, you consent to this - but if you want, you can change your setting at any time using the ‘change cookie setting’ link at the bottom of this page.

Cookie Setting

Our Cookies

Cookie NamePurpose
eu_ask This is used to store the cookie setting you set in the form above.
If you choose 'Do Not Allow Cookies' we will need to store this information as a cookie with the value N.
If you choose 'Allow Cookies' or do not make a choice, we will store this information as a cookie with the value Y.

The value is kept for one year.

3rd Party Cookies

Cookie NamePurpose
Google Analytics This website uses Google Analytics, a web analytics service provided by Google, Inc.
Google Analytics sets a cookie in order to evaluate your use of the website and compile reports for us on activity on the website.
Google stores the information collected by the cookie on servers in the United States.
Google may also transfer this information to third parties where required to do so by law,
or where such third parties process the information on Google's behalf.
Google will not associate your IP address with any other data held by Google
By using this website, you consent to the processing of data about you by Google in the manner and for the purposes set out above.

How to reject or delete this cookie