Epididymitis: A 21-Year Retrospective Review of Presentations to an Outpatient Urology Clinic

Redshaw, Jeffrey D.; Tran, Trung; Wallis, M. Chad; deVries, Catherine R.

doi:10.1016/j.juro.2014.04.002

Cited by 29 publications

(31 citation statements)

References 20 publications

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“…[4] EO can lead to scrotal abscess formation and testicular loss as well. [3,5] Recurrent UTI may UTI: urinary tract infections; EO: epididymo-orchitis; yr: years be due to presence of a prostatic utricle [6] which is commonly associated with proximal hypospadias. Urethral strictures after hypospadias repair can be effectively treated by endoscopic urethrotomy.…”

Section: Discussionmentioning

confidence: 99%

Long term follow up of proximal hypospadias repair-urethral stricture should be excluded in adults who present with epididymo-orchitis

Bhandarkar

Kittur

Patil

et al. 2018

Turkish Journal of Urology

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Objective: Epididymo-orchitis (EO) is a well-known complication of urinary tract infections (UTI) in children. This is commonly seen in children who had hypospadias repair or in those who had surgery for anorectal malformation especially when it results in urethral stricture. However EO occurring as a complication of urethral stricture in adults operated for hypospadias in childhood is not well documented in the literature. Material and methods:This is a retrospective review of four adults who had proximal hypospadias repair in childhood. All four men presented to us with EO. They were thoroughly investigated to rule out presence of urethral stricture. Results:Three patients had urethral stricture of which two responded well to dilatation and one required cystoscopy and visual internal urethrotomy. The fourth patient did not have urethral stricture. EO in this patient is thought to be due to excessive straining during micturition causing reflux into seminal vesicles. Conclusion:Urethral stricture should be excluded in any adult who had a hypospadias repair and presents with EO. Urethral strictures after hypospadias surgery respond well to dilatation and to endoscopic urethrotomy.

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Section: Discussionmentioning

confidence: 99%

Long term follow up of proximal hypospadias repair-urethral stricture should be excluded in adults who present with epididymo-orchitis

Bhandarkar

Kittur

Patil

et al. 2018

Turkish Journal of Urology

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“…The second age peak was strongly confirmed by this study, but it was unable to establish the first peak age because of the noninclusion of pediatric patients. The first peak age of urinary tract infection (UTI) in men, according to Redshaw et al, 13 is around the time of puberty. The risk factors for UTI and epididymorchitis in the younger age-group below 35 years are documented to include sexual activity, strenuous physical exercise, and bicycle or motorcycle riding.…”

Section: Discussionmentioning

confidence: 99%

Acute epididymorchitis: a study of the predisposing factors and immediate management outcome in adult men in Irrua, Nigeria

Irekpita¹,

Ogbetere²,

Esezobor³

2016

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To assess the immediate (14 days) outcome of management and to determine the predisposing factors (PF) to acute epididymorchitis in this rural community. Materials and methods: This is a retrospective study. All men who were diagnosed as having acute epididymorchitis within the study period of 5 years were included. Those with epididymorchitis secondary to testicular tumors were excluded. Information related to age, HIV infection and other PF, organisms isolated, duration of hospital stay, antibiotic treatment, adjunct treatment, and duration of symptoms before presentation were documented. Immediate outcome was graded as good if symptoms and signs resolved within 2 weeks of treatment or poor if this took more than 2 weeks. Findings were analyzed using simple statistical methods and statistical package for the social sciences (SPSS-17). Results: A total of 58 men met the selection criteria and were included in the study. The risk factors included two (3.4%) prostatitis, 36 (62.1%) bladder outlet obstruction, three (5.2%) trauma/instrumentation, and ten (17.2%) multiple sexual partners. No risk factor was documented in seven (12.1%). One (1.7%) of the men, who also had bladder outlet obstruction, was HIV positive. When age was cross tabulated with risk factors, there was a significant correlation (P=0.000) but it had no significant effect on immediate management outcome (P=0.442). Immediate outcome was considered good in 40 (69%) and poor in 18 (31%). Independent factors that affected outcome included the duration of symptoms before presentation (P=0.000), presenting symptoms (P=0.000), and the need for adjunct treatment (P=0.018). Ciprofloxacin was the antibiotic used in 57 (98.28%), while cefuroxime was used in one (1.7%). These drugs had no statistically significant correlation with outcome. Conclusion: Many patients with epididymorchitis have PF that need to be treated to avoid its recurrence and complications. It would then mean that the diagnosis "acute epididymorchitis" is incomplete without including the PF. In this study, ciprofloxacin was not uniformly effective (69%) using the aforementioned criteria, indicating the need for prospective studies to identify cost-effective antibiotics.

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“…The etiopathogenesis of epididymo‐orchitis depends on the age of the patient. In pediatric patients, anatomic abnormalities such as urinary reflux into the ejaculatory ducts might be one of the causes . In sexually active patients, the most common cause is a bacterial infection with Neisseria gonorrhoeae or Chlamydia trachomatis .…”

Section: Epididymitis/epididymo‐orchitismentioning

confidence: 99%

Overview of ultrasound applications for assessing scrotal disorders

Schwarze

Marschner

Rübenthaler

et al. 2019

J of Ultrasound Medicine

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The scrotum may be affected by a plethora of different disorders such as infections, vasculopathies, trauma, and manifestations of primary and secondary malignant masses. In addition to the patient's medical history and clinical examination, ultrasound represents the imaging modality of choice to assess scrotal disorders. Timeconsuming contrast-enhanced ultrasound and elastography can provide further information to distinguish between benign and malignant testicular mass lesions. The following invited Special Communication gives a comprehensive overview of differential diagnoses of the scrotum and their corresponding sonomorphologic correlates based on representative cases of the Interdisciplinary Ultrasound Center of the University Hospital Munich.

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Epididymitis: A 21-Year Retrospective Review of Presentations to an Outpatient Urology Clinic

Cited by 29 publications

References 20 publications

Long term follow up of proximal hypospadias repair-urethral stricture should be excluded in adults who present with epididymo-orchitis

Long term follow up of proximal hypospadias repair-urethral stricture should be excluded in adults who present with epididymo-orchitis

Acute epididymorchitis: a study of the predisposing factors and immediate management outcome in adult men in Irrua, Nigeria

Overview of ultrasound applications for assessing scrotal disorders

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