• variety of pathogens

• STI more likely in \<35yo

  • >1 sexual partner in past 12/12 and uretral discharge

  • C. trachomatis, N gonorrhoeae

  • uretrhitis concurrent

• main ddx = testicular torsion

• >35yo

  • non-sexually transmitted G-ve enteric organism

• If STI:

  • ceftriaxone 500mg IM stat

  • plus doxycycline 100mg bd for 14d

  • if severe -> hospital

• If UTI:L

  • ciprofloxacin 500mg bd for 10d

  • or amox/clav 500/125 tds for 10d

• reviewed 24-48hrs to assess response to treatment

  • if MSU positive

  • renal uss and refer urology

• consider urology admisison

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