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for Testicular Pain

   
Testicular Pain
Suggested Pre-Referral Evaluation and Management Guidelines Acute onset < 24 hours: If concern over testicular torsion, needs emergent Urological Evaluation. Emergent referral to Emergency Department.
Symptomatic management:
       NSAIDs
       Discretionary use of narcotics
Suggested Additional Test/Management Prior to Specialty Visit Acute onset: if concern over testicular torsion- needs emergent Urologic evaluation. Needs emergent referral to Emergency Department.

Concern over possible testicular tumor: needs urgent Urologic evaluation; scrotal ultrasound. and Bhcg, AFP, LDH prior to appointment.

Likely epididymitis/orchitis (not STD-related): Levaquin 500mg daily for 10 days or Cipro 500mg BID for 10 days. If STD suspected, see CDC guidelines

Persistent testicular pain (>6-8 weeks): symptomatic management.
Patient Education/Information (includes preps)  
Appointment Timeframe Acute onset < 24 hours: Emergent referral to Emergency Department.

Concern over possible testicular tumor: If patient has had a scrotal ultrasound consistent with testis tumor, schedule as urgent within 48 hours.

Post-vasectomy, post-treatment for epididymitis: within 2-3 weeks (after completion of any antibiotic course).

Persistent testicular pain: next available.
How to Get Results to Consultant UMHS Patients: See MiChart.
External Patients: Should hand carry reports/records to appointment.
Clinic Contact Information Physicians: 800-962-3555
Patients: 734-936-7030
Clinic Location Sites Briarwood Center for Reproductive Medicine
Domino's Farms Family Medicine Urology
Livonia Center for Specialty Care
Taubman Healthcare Center
Ypsilanti Health Center
UM Consulting Physician Christopher Loren Allam, DO
Diane Marie Collin, PA
Allen McNeil Haraway, MD
John Thomas Wei, MD
Joel J. Heidelbaugh, M.D.
Masahito Jimbo, MD
Dana Alan Ohl, MD
Susanne Anne Quallich, NP
Karl Thomas Rew, MD
Stanley Gitau Mukundi, PA
Revised on: 10/16/2014