Urinary diversion for acute epididymitis Transurethral or suprapubic catheter?

Acute infective epididymitis is the most common cause for scrotal pain in adults. The severe course of the disease requires immediate antimicrobial management, comprised antibiotic treatment and supportive measures. Patients with chronic indwelling catheters and developing epididymitis show a more severe clinical course compared to patients without a catheter. Although it is common clinical practice to place a catheter for the treatment of a systemic infectious condition of the genitourinary tract, there is only limited evidence of support due to the absence of clinical trials.

Automated summary

Acute infective epididymitis is the leading cause of scrotal pain in adults, requiring immediate antimicrobial treatment and supportive measures. Patients with chronic indwelling catheters and developing epididymitis tend to have a more severe clinical course compared to those without catheters. The use of catheters for genitourinary infections is a common practice, but there is limited clinical trial evidence to support this.