Acute Epididymitis in Children: A 4-Year Retrospective Study

Haecker, Frank-Martin; Hauri-Hohl, A.; Schweinitz, Dietrich von

doi:10.1055/s-2004-830355

Cited by 37 publications

(37 citation statements)

References 14 publications

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“…If the history and physical examination are sufficiently alarming, then scrotal exploration is used even if "normal flow" was observed on the ultrasound study [1]. Haecker et al based on their own results and the experience of a majority of other authors propose a reasonable diagnostic and therapeutic algorithm for acute scrotum [8]. The present study confirms the importance of color Doppler ultrasound as a diagnostic tool for the exclusion of testicular torsion among children with acute scrotum.…”

Section: Discussionsupporting

confidence: 89%

Acute epididymitis in Greek children: a 3-year retrospective study

Sakellaris

Charissis

2007

Eur J Pediatr

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The aim of the study was to compare historical features, physical examination findings, and testicular color Doppler ultrasound in pediatric patients with epididymitis compared to testicular torsion and torsion of the appendix testes. A retrospective review of the medical records of 66 boys presenting with clinical aspects of acute scrotum over a 3-year period was performed. Sixty-six patients were included in the study (29 with epididymitis, 8 with testicular torsion and 12 with torsion of the appendix testis, 4 with scrotal abscesses, 5 with scrotal swelling, and 1 with inflamed epididymal cyst). The duration of symptoms ranged from 6 h to 4 days with a peak on the second day. Urine cultures and viral testes were negative in all patients. Color Doppler ultrasound was diagnostic for epididymitis in 28 patients (96.6%). Systemic intravenous antibiotics were given in all 29 patients with epididymitis. No patient showed signs of testicular atrophy in the follow-up. The increasing incidence of epididymitis should question the policy of routine exploration of the acute scrotum in children. The history and physical examination cannot reliably identify those boys who can be managed conservatively. Color Doppler ultrasound is a useful adjunct in the evaluation of the acute scrotum when physical findings are equivocal but it can also be misleading.

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Section: Discussionsupporting

confidence: 89%

Acute epididymitis in Greek children: a 3-year retrospective study

Sakellaris

Charissis

2007

Eur J Pediatr

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“…[2,5,11] Urine cultures were inconclusive in the majority of the patients in the current study and showed infection with Pseudomonas in 3 patients, and this clinical data is similar to the literature. [12,13] However, the urine culture-proven infection rate of 51.6% has also been reported in children with epididymitis. [14] The incidence of underlying urogenital anomaly in our patients with EO was 22.7% (5 of 22) and is consistent with previous reports.…”

Section: Resultsmentioning

confidence: 99%

Treatment of acute scrotum in children: 5 years' experience

Erikçi

Hoşgör²,

Aksoy³

et al. 2013

Ulus Travma Acil Cerrahi Derg

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“…Acute epididymo-orchitis or epididymitis is the most common cause of an acute scrotum in adolescent boys and the most frequent non-surgical cause of the acute scrotum (14,15). These are unusual in early neonatal life.…”

Section: Discussionmentioning

confidence: 97%