Outcome of acute epididymo-orchitis: Risk factors for testicular loss

Norton, Sherry; Saies, A.S.; Giri, Samaksh; Nama, Gabriel Medoua; Akram, Mian Muhammad Ali; Flood, Hugh D.

doi:10.1016/s2666-1683(20)33987-2

Cited by 2 publications

(3 citation statements)

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“…Notably, previous studies have shown that less than 30% of urine cultures submitted for presumed etiology of epididymitis are positive [9] . In our review, approximately 53% (8/15) of patients had negative urine cultures but positive tissue cultures, while 13.3% (2/15) of patients presented a discordance between urine cultures and tissue cultures in surgical specimens.…”

Section: Discussionmentioning

confidence: 99%

Testicular infarction as a rare complication of pyogenic epididymoorchitis due to Pseudomonas aeruginosa: A case report and systematic literature review

Ishikawa¹,

Matsuo²,

Nakamura³

et al. 2021

IDCases

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Background Testicular infarction is a known serious complication associated with epididymitis. It is known to be idiopathic in 70% of cases but the frequency, risk factors, and management are yet to be elucidated. This paper aims to report a case of testicular infarction secondary to pyogenic epididymoorchitis caused by Pseudomonas aeruginosa. Case presentation A 64-year-old male with a past medical history of benign prostate hypertrophy using intermittent self-catheterization and a recent history of culture-negative pyogenic epididymoorchitis treated with oral cefpodoxime was admitted to our hospital due to a 4-week history of fever, right scrotal pain, and swelling. Scrotal ultrasonography showed a hypoechoic testis without testicular torsion. He was diagnosed with testicular infarction and a scrotal abscess due to Pseudomonas aeruginosa , and was treated with cefepime along with transcutaneous drainage. Despite the antimicrobial treatment, he experienced testicular loss with necrotic tissue. Because little is known about the risk factors, clinical characteristics, management, and prognosis of testicular infarction secondary to epididymitis, we performed a systematic review of the literature. Conclusion This is a case of testicular necrosis during the treatment of epididymitis with negative urine culture and detection of Pseudomonas aeruginosa in tissue culture. Clinicians should perform frequent blood flow evaluation to the testis for early urologic intervention.

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Section: Discussionmentioning

confidence: 99%

Testicular infarction as a rare complication of pyogenic epididymoorchitis due to Pseudomonas aeruginosa: A case report and systematic literature review

Ishikawa¹,

Matsuo²,

Nakamura³

et al. 2021

IDCases

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“…Treatment mainly relies on symptomatic support such as anti-inflammatory and analgesic measures, and rarely requires surgical intervention. 1 The complications of EO which include abscess formation are not common, but it can be detected through ultrasound examination. However, testicular infarction caused by EO is a rare complication, and its diagnosis is challenging.…”

Section: Introductionmentioning

confidence: 99%

“…Acute epididymo‐orchitis (EO) is a common urological condition that can occur in males of any age, often manifested as unilateral scrotal pain. Treatment mainly relies on symptomatic support such as anti‐inflammatory and analgesic measures, and rarely requires surgical intervention 1 . The complications of EO which include abscess formation are not common, but it can be detected through ultrasound examination.…”

Section: Introductionmentioning

confidence: 99%

Multimodal ultrasound diagnosis of epididymo‐orchitis with secondary testicular infarction: A case report

Liu,

Shu,

Shi

et al. 2024

J of Clinical Ultrasound

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We report a case of a 48‐year‐old man with testicular infarction caused by epididymo‐orchitis (EO). Multimodal ultrasound showed extensive necrosis of the testis, and the patient underwent right orchiectomy. Postoperative pathology confirmed extensive necrosis of the testis. After 3 months of follow‐up, the examination of scrotal ultrasound showed that the left testis and epididymis had no obvious abnormality.

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Outcome of acute epididymo-orchitis: Risk factors for testicular loss

Cited by 2 publications

References 0 publications

Testicular infarction as a rare complication of pyogenic epididymoorchitis due to Pseudomonas aeruginosa: A case report and systematic literature review

Testicular infarction as a rare complication of pyogenic epididymoorchitis due to Pseudomonas aeruginosa: A case report and systematic literature review

Multimodal ultrasound diagnosis of epididymo‐orchitis with secondary testicular infarction: A case report

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