Ward Class

An Online Resource Site For Student Nurses

Welcome

Ward Class is an online resource for student nurses. Created with the aim of helping student nurses cope with the demands of nursing school and clinicals, it offers free downloads, notes, sample NCPs, sample drug studies, study aids, news and updates, and practical tips to its users.

Site Announcement

The December 2012 PRC Nursing Board Exam Result is already available here at Ward Class and at Pinoy R.N.




Genitourinary Disorders: Epididymitis


  • a male reproductive disorder; one of the most common intrascrotal infections
  • an inflammation of the coiled tube (epididymis) at the back of the testicles
  • can be acute
  • may also be caused by GU instrumentation and urinary reflux

Assessment Findings
  • Scrotal pain and edema
  • Urinary frequency, urgency, or dysuria
  • Urinary retention from bladder outlet obstruction in older patients
  • Nausea
  • Fever and chills
  • Abdominal or flank pain
  • Bilateral epididymal involvement (10%)
  • Urethral discharge
  • Urine culture-->identifies specific organism
Medical Management
  • antibiotics specific for the organism
  • pain medications
Nursing Management
  • give antibiotics and pain medication as ordered
  • place patient on bed rest with scrotum elevated-->to decrease edema
  • apply ice packs to scrotal area-->to decrease edema
Prognosis

Pain usually resolves within 1 to 3 days but swelling may take longer to resolves. If left untreated, epididymitis may eventually lead to scrotal abscess, chronic epididymitis, testicle atrophy, and impaired fertility (rare).

Prevention

When treating STD-related epididymitis, the patient and all sexual partners should be treated to avoid recurrence. Condom use during sexual intercourse is helpful in preventing the disease.

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