1050 An Audit of the Management of Acute Epididymo-orchitis

Abstract Aim To evaluate the management of patients referred to our Surgical Assessment Unit presenting with acute epididymo-orchitis. Concordance local antibiotic guidance, use ultrasound scanning, and microbiological testing were all assessed over a one-year period. Method All adult epididymo-orchitis in 2019 identified retrospectively using ICD-10 codes choice used was compared own guidance. The scanning recorded whether this led change diagnosis or management. Use investigations including urine microscopy & culture sexual health screening assessed. Results After exclusion criteria applied 64 cases an average age 55 (16-88). guidance low 3/64 receiving antibiotics in-line This predominantly due frequent Ciprofloxacin (49/64) which is not advised locally, however in-keeping from organisations such as EAU/BASHH. Ultrasound acutely 46/64 28/46 showing evidence epididymo-orchitis, 15/46 normal 1/46 confirmed abscess required surgical drainage. scans still treated based on clinical findings. 25/64 had sample sent for MC&S uptake low. Conclusions Urologists should be aware differences between prescribing policy broader relevant organisations. Epididymo-orchitis remains reserved diagnostic uncertainty, unwell patients, failure improve.