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12.4 Painful Scrotal Swelling (PSS)

Table of Contents

  • PSS is the inflammation of the epididymis and testis, often accompanied with scrotal pain, swelling and tenderness. It is also known as epididymorchitis.
  • The common aetiologies of PSS are Neisseria gonorrhoea and Chlamydia trachomatis
  • Common symptoms and signs of PSS are scrotal pain, scrotal swelling and tenderness, scrotal oedema and fever.
  • Among the common complications of painful scrotal swelling include infertility and scrotal abscess.

Management and Treatment of PSS (see flow chart 12.4)