Acute epididymitis

Luzzi, Graz; O'Brien, Timothy

doi:10.1046/j.1464-410x.2001.02216.x

Cited by 85 publications

(68 citation statements)

References 83 publications

(128 reference statements)

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“…This assertion is confirmed by the study by Luzzi [14] who found a higher proportion of sexually transmitted germs followed by banal germs dominated by E. coli.…”

Section: Discussionsupporting

confidence: 60%

Infectious Pathology of the Scrotum in Abidjan: Ultrasound Features of 80 Cases

Kouamé¹,

Manewa²,

Kouame³

et al. 2017

OJRad

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Objectives: The aim of this study was to determine the epidemiological-clinical profile of patients with scrotal infectious pathology in Abidjan and describe the ultrasound features of this scrotal infectious pathology. Methods: This was a prospective study of 80 cases of scrotal infectious pathology objectified by ultrasound at Yopougon University Hospital from 1 January 2015 to 31 December 2015. Ultrasounds were performed using a high-frequency linear probe in B and Color Doppler modes by senior radiologists. The epidemiological-clinical data were recorded from the ultrasound request form and the interrogation of the patient. Results: The average age was 23 years with extreme ranging from 16 to 40 years. Soldiers were the most concerned (40%) followed by students (30%). The painful large bursa was the quasi constant presenting feature (95% of cases) and fever was associated in less than half of the cases (45% of cases). The scrotal involvement was most often unilateral (85% of cases) and the left side was involved in 70% of the cases. Epididymitis was the most frequent pathology (60%) followed by orchiepididymitis (30%) and orchitis (10%). The most commonly encountered accompanying ultrasound findings were envelope thickening (100%), intravaginal fluid effusion (60%), and Doppler Hypervascularization (30%). Conclusion: In Abidjan Scrotal infectious pathology is most often encountered among young soldiers or students most often with a ± febrile large bursa. The most common pathology is left unilateral epididymitis.

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“…This assertion is confirmed by the study by Luzzi [14] who found a higher proportion of sexually transmitted germs followed by banal germs dominated by E. coli.…”

Section: Discussionsupporting

confidence: 60%

Infectious Pathology of the Scrotum in Abidjan: Ultrasound Features of 80 Cases

Kouamé¹,

Manewa²,

Kouame³

et al. 2017

OJRad

View full text Add to dashboard Cite

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“…Complica ons include abscess forma on and tes cular ischemia due to inflammatory involvement of cord and extrinsic compression of the tes cular blood supply by the oedematousepididymis. The reported incidence of complica ons ranges from 3 to 39% depending on the severity of the infec on [8].…”

Section: Discussionmentioning

confidence: 99%

Clinical Outcome of Patients With Acute Scrotal Pain at a Tertiary Rural Centre in Maharashtra

Vyas¹,

Singh²,

Apturkar³

et al. 2017

IJCBR

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“…4 In a study of 22 men with Escherichia coli or idiopathic acute epididymitis, and nine controls, urethrovasal reflux secondary to high voiding pressures was suggested as the mechanism of E-O. 5 The cause of voiding dysfunction in approximately 50% of cases included proximal urethral strictures, bladder neck abnormalities, and detrusor external sphincter dyssynergia.…”

Section: Discussionmentioning

confidence: 99%

“…4 Infective factors include a history of recurrent UTIs, urinary fistula, urethral diverticuli, urinary stones, bladder emptying methods, bladder residual urine, vesico-ureteral reflux, and micturition control. The urological factors were based on urethrovasal reflux and high voiding pressures, 5 such as including a history of sphincterotomy, 6 urethral stricture, 7 neurogenic bladder, 8 autonomic dysreflexia, and spinal injury type.…”

Section: Methodsmentioning

confidence: 99%

Epididymo-orchitis risk factors in traumatic spinal cord injured patients

et al. 2003

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Study design: Retrospective audit and interview-based study of a traumatic spinal cord injured cohort, assessing the incidence and risk of epididymo-orchitis (E-O). Objectives: Assess the potential risk factors for E-O in this cohort (spinal cord injured patients). Setting: Janbazan Clinic for Spinal Cord Injuries, Mashad, Iran. Methods: A retrospective notes audit of 169 male traumatic spinal cord injured (SCI) patients was performed. In addition, interviews were performed to confirm any equivocal data. The following risk factors were assessed: history of recurrent urinary tract infections (UTIs), urethral stricture, urethral diverticuli, urinary fistula, urinary calculi, spinal injury type, neurogenic bladder type, autonomic dysreflexia, vesico-ureteral reflux, sphincterotomy, vasectomy, marriage status, bladder residual and emptying method, ejaculation, spinal injury level, micturation control, and muscular spasm, which included detrusor, external sphincter or lower limb spasm. Results: A total of 65 patients from our group (38.5%) had suffered E-O at least once. E-O presented on average, 3.9 years after the SCI. Patients with a history of muscular spasm appeared less likely to develop E-O (Po0.05). None of the vasectomised patients developed E-O. The relation between all the other factors and E-O were not significant. Conclusions: Our study has shown that the presence of muscular spasm decreases the risk of E-O, although the mechanism remains unclear. Surprisingly, the other historical risk factors showed no clear relation with E-O occurrence. Spinal Cord (2003) 41, 516-520. doi:10.1038/sj.sc.3101491Keywords: spinal cord injuries; spinal injuries; epididymitis; epididymo-orchitis; orchitis IntroductionLong-term follow-up of patients with traumatic spinal cord injuries (SCI) sustained during several wars demonstrated that urological complications were the leading cause of mortality, with 43% of all deaths related to renal diseases. 1 Lapides et al 2 introduced the concept of clean intermittent self-catheterisation (CISC), which improved the management of neuropathic bladders, and decreased the mortality.Epididymo-orchitis (E-O) is a common complication of SCI associated with neuropathic voiding dysfunction, and is associated with a 50% risk of azoospermia, and thus infertility in paraplegic patients. 3 We undertook a MEDLINEt search (OVIDt) between 1960 and April 2002 (keywords: epididymitis, orchitis and Epididymoorchitis, combined with spinal injuries, spinal cord, urogenital diseases, urological diseases, and urinary tract infection (UTI)), which revealed a lack of comprehensive studies dealing with potential risk factors for E-O in SCI patients.Thus, in an attempt to reduce the incidence of E-O and consequently the risk of infertility in these patients, we investigated risk factors predictive of E-O associated with SCI. Patients and methodsWe reviewed 169 male patients who sustained their wartime spinal injuries between 1980 and 1988. These patients were all victims of the Iran-Iraq war, and the Janbazan ...

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Acute epididymitis

Cited by 85 publications

References 83 publications

Infectious Pathology of the Scrotum in Abidjan: Ultrasound Features of 80 Cases

Infectious Pathology of the Scrotum in Abidjan: Ultrasound Features of 80 Cases

Clinical Outcome of Patients With Acute Scrotal Pain at a Tertiary Rural Centre in Maharashtra

Epididymo-orchitis risk factors in traumatic spinal cord injured patients

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