Acute Gonococcal Epididymo Orchitis C0153193
A bacterial infection causing painful swelling of the epididymis and testicle. It typically affects sexually active males and is treated with antibiotics to prevent complications.
Key facts at a glance
- ICD-10
- N39.0
- ICD-11
- GA00.0
- Body system
- genitourinary
- Severity
- moderate
- Chronic
- false
Signs and symptoms
Common signs and symptoms that may indicate this condition.
Generalized symptoms
(genitourinary)Noticeable symptoms that may vary in intensity over time.
Frequency: Varies
scrotal pain
(genitourinary)testicular swelling
(genitourinary)fever
(genitourinary)urethral discharge
(genitourinary)Diagnosis and tests
How this condition is diagnosed and what test results mean.
Initial screening tests
Standard diagnostic workup
Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]
Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]
Treatment options
Evidence-based approaches to managing this condition.
First-line treatments
Antibiotic therapy
Parenteral cephalosporins combined with doxycycline are typically administered for treatment of acute gonococcal epididymo-orchitis. Therapy should continue for at least 10-14 days to ensure adequate eradication of the infection and prevent complications.
Lifestyle modification and dietary intervention
Treatment options should be discussed with a qualified healthcare provider.
Scrotal support and elevation
Application of scrotal support with a jockstrap or folded towel, combined with bed rest and scrotal elevation, helps reduce swelling and discomfort. Ice packs may be applied intermittently during the acute phase.
Additional treatment options
Analgesic and anti-inflammatory therapy
NSAIDs such as ibuprofen are recommended for pain management and to reduce inflammation. These should be used adjunctively with antibiotic therapy to provide symptomatic relief during the acute phase.
medicationClinical follow-up and testicular assessment
Regular follow-up examinations are essential to monitor treatment response and assess for potential complications such as testicular atrophy, abscess formation, or persistent infection requiring prolonged therapy.
monitoringPartner notification and concurrent treatment
Sexual partners within 60 days of symptom onset should be notified, evaluated, and treated empirically for gonococcal infection regardless of symptoms. This prevents reinfection and community transmission.
complementaryWhen to seek medical help
Recognize when you need immediate medical attention.
Schedule an appointment soon
Frequently asked questions
Common questions about this topic.
What is Acute Gonococcal Epididymo Orchitis C0153193?
Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]
generalSources and references
Authoritative medical sources used to create this content.
Centers for Disease Control and Prevention. Sexually transmitted infections treatment guidelines. MMWR Recomm Rep. 2021;70(4):1-187.
Berger RE, Alexander ER. Acute epididymitis: etiology and management. Infect Dis Clin North Am. 1990;4(4):743-752.
Holmes KK, Counts GW, Beaty HN. Disseminated gonococcal infection. Ann Intern Med. 1971;74(6):979-993.
WHO Department of Reproductive Health and Research. Guidelines for the management of sexually transmitted infections. Geneva: World Health Organization; 2003.
Medication Comparisons
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View Medication ComparisonsThis information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.
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Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy