This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Miscellaneous, Subject name: Surgery
All of the following are true about gonococcal epididymitis, EXCEPT 
Select and explain. 
A. Antibiotics, B. Anti inflammatories, C. Surgery after infection subsided, D. Immediate surgical intervention is needed
D: Immediate surgical intervention is needed
Answer: D: Immediate surgical intervention is needed 
Explanation: (D) Immediate surgical intervention is needed # EPIDIDYMITIS is inflammation of the collecting tubules that lie behind the testes in the scrotum.> Inflammation of the epididymis is often associated with an inflammation of the urethra or of the testes, a so-called orchitis. A well-known cause of epididymo-orchitis is mumps. In severe cases it may lead to loss of function of the affected test s.> Other forms of epididymitis may be classified as gonococcal and non-gonococcal. The former arises after the urethritis caused by the sexually transmitted gonococcus bacteria has subsided.> Treatment: Ceftriaxone 250 mg IM once PLUS doxycycline 100 mg PO bid x 10d. Allergy to cephalosporins: N. gonorrhoeae resistance rates to fluoroquinolone antibiotics have increased to >25% in some U.S. cities and are no longer recommended for use in treatment of gonococcal infections at any site. For patients with a history of cephalosporin allergy consultation with a specialist is recommended for allergy testing and desensitization, if needed, prior to treatment with a cephalosporin. Spectinomycin has not been demonstrated to achieve adequate tissue penetration in treatment of gonococcal epididymitis and cannot be recommended.