Acute Epididymitis

The EAU 2026 acute epididymitis pathway — exclude testicular torsion first, stratify the likely organism (a sexually transmitted infection versus Enterobacterales), work up with mid-stream and first-voided urine culture plus NAAT and scrotal ultrasound, treat empirically to cover C. trachomatis and Enterobacterales (adding single-dose ceftriaxone when gonorrhoea is likely), manage supportive care and complications, and take the STI test of cure fourteen days after the antibiotic course ends, with partner tracing. Switch between the visual Pathway map and the phase-by-phase Explorer.