Font Size
A
A
A
...
6
...

Testicle Infection (Epididymitis) (cont.)

Epididymitis Treatment

Medications

The health care practitioner likely will treat the individual with antibiotics through an IV, a shot, or pills orally (to be taken for 10 days or longer). Often the treatment depends on the identity of the infecting bacteria; many physicians elect to treat with at least two different antibiotics because individuals are occasionally infected with more than one organism.

In men younger than 39 years of age:

  • Ceftriaxone (Rocephin): As a single dose either in an IM (intramuscular) shot or through an IV line and 1 dose of azithromycin (Azithromycin 3 Day Dose Pack, Azithromycin 5 Day Dose Pack, Zithromax, Zithromax TRI-PAK, Zithromax Z-Pak, Zmax)
  • Doxycycline (Vibramycin): Pills twice a day for 10 days in addition to the shot of ceftriaxone
  • The CDC guidelines recommend ceftriaxone (Rocephin) 250 IM in a single dose plus doxycycline 100 mg orally twice a day for 10 days.

In men older than 39 years of age or those who participate in anal intercourse (and do not have an STD caused by N. gonorrhoea or C. trachomatis):

The CDC guidelines recommend that for acute epididymitis most likely caused by enteric organisms or with negative gonococcal culture or PCR nucleic acid amplification test, treat with the following:

  • Levofloxacin (Levaquin) 500 mg orally once daily for 10 days.

Guidelines change frequently; most health care practitioners who treat epididymitis are aware of these guidelines, and depending on local resistance patterns of pathogens, may change the type and duration of antibiotics to best fit the patient's condition. Pediatric treatments are best administered by pediatricians and are usually based on the weight of the patient and the infecting organism's antibiotic susceptibility. If the infection is not treated early, complications may develop that require surgery.

For patients with non-infectious causes of epididymitis (for example, chemical, inflammation) anti-inflammatory medication is often prescribed; occasionally, consultation with a urologist is recommended for additional treatments.

Medically Reviewed by a Doctor on 5/2/2014

Must Read Articles Related to Testicle Infection (Epididymitis)

Mumps
Mumps Mumps is a disease, usually of children, caused by a virus. With mumps, your salivary glands swell. Symptoms and signs include fever, headache, gland swelling, ...learn more >>
Sexually Transmitted Diseases (STDs)
Sexually Transmitted Diseases Sexually transmitted diseases (STDs) are among the most common infectious diseases in the United States. STDs can be spread through any type of sexual activity ...learn more >>
Testicular Pain
Testicular Pain Testicular pain has many causes including trauma, epididymitis (testicle infection) testicular torsion (a surgical emergency), STDs, enlarged prostate, inguinal...learn more >>

Patient Comments & Reviews

The eMedicineHealth doctors ask about Epididymitis:

Testicle Infection (Epididymitis) - Symptoms

What were the symptoms of your testicle infection and how was it treated?

Testicle Infection (Epididymitis) - Treatments

What was the treatment for your testicle infection (epididymitis)?





Read What Your Physician is Reading on Medscape

Testicular Trauma »

Institute conservative treatment for patients with minor trauma in which the testes are unequivocally spared and the scrotum has not been violated.

Read More on Medscape Reference »


Medical Dictionary