Acute Epididymitis in Boys: A 5-Year Retrospective Study

Abstract

A retrospective study was undertaken of 25 children with epididymitis seen at our pediatric hospital during the last 5 years. The symptoms and signs in these patients were evaluated, as well as the results of urinalysis, urine culture, excretory urogram, scrotal scan, exploration and white blood count. The presence of underlying urological problems was particularly sought for and found to be rare prior to epididymitis. The treatment and results are reviewed.

Treatment of acute scrotum in children: 5 years' experience

“…The incidence of positive urinalysis (13.6%) in this study shows similarity with previous reports, in which incidences were between 15%-59%. [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.…”

Clinical Study on Acute Scrotal Swellings in Adichunchanagiri Hospital and Research Centre

“…In the study conducted by Thorsteinn et al, the shortest duration of symptoms was 3 hours and longest was 21 days. 6 The average duration of pain from onset till presentation in case of epididymo-orchitis was 3.54 days, whereas it was 4 days in a study conducted by Ricardo et al 7 The average duration of symptoms from onset till presentation in case of Fournier's gangrene was 9.6 days in our study.…”

“…Thorstein Gislason showed that leucocytosis was present in 44% cases, whereas in our study it was 60%. 6 On ultrasonography in case of acute epididymo-orchitis, testis was diffusely hypoechoic and swollen. The epididymis was hypoechoic and swollen with colour Doppler showing increased vascularity of both epididymis and testis.…”

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

“…Gierup et al [6] reported 48 cases seen during a 17-year period in Sweden. Gislason et al [7] described their experience with 25 children with epididymitis diagnosed over a 5-year period. The exact incidence of epididymitis is unknown.…”