Acute Epididymitis in Children: the Role of the Urine Test

Joo, Jin Woo; Yang, Seung Dae; Kang, Tae Wook; Jung, Jae Hung; Kim, Sung Jin

doi:10.4111/kju.2013.54.2.135

Cited by 14 publications

(28 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Urinalysis in the setting of an acute scrotum is for the identification of pyuria as a potential marker for infectious epididymitis, which may occur secondary to retrograde flow of infected urine from the urethra through the ejaculatory ducts and vas deferens into the epididymis . Previous studies have demonstrated that most pediatric males with epididymitis do not have pyuria on urinalysis or a positive urine culture and, therefore, do not require routine antibiotic treatment . As there are no clear predictors for males with a bacterial etiology of epididymitis the general recommendation is for a urine culture to be performed on males with epididymitis, while the utility of a screening urinalysis for pyuria is less clear.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have demonstrated that most pediatric males with epididymitis do not have pyuria on urinalysis or a positive urine culture and, therefore, do not require routine antibiotic treatment . As there are no clear predictors for males with a bacterial etiology of epididymitis the general recommendation is for a urine culture to be performed on males with epididymitis, while the utility of a screening urinalysis for pyuria is less clear. In our study cohort urinalysis was performed in 86% of males without testicular torsion and 0% in males with torsion.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Prospective Validation of Clinical Score for Males Presenting With an Acute Scrotum

Frohlich

Paydar‐Darian

Cilento

et al. 2017

Academic Emergency Medicine

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Prospective Validation of Clinical Score for Males Presenting With an Acute Scrotum

Frohlich

Paydar‐Darian

Cilento

et al. 2017

Academic Emergency Medicine

View full text Add to dashboard Cite

show abstract

“…It is important to point out that epididymitis may be isolated to the body or the tail and can be missed if these structures 7,10,11,12 Among patients with orchalgia, 12 (14.45%) patients had hydrocele in our study.…”

Section: Discussionmentioning

confidence: 64%

Patterns of scrotal pain in a hospital setting

Chapagain

Subedi

Thakur

et al. 2017

J. Soc. Surg. Nepal

View full text Add to dashboard Cite

Introduction: Scrotal pain is a common urological condition. Common causes of scrotal pain are testicular torsion, epididymitis, epididymo-orchitis and occasionally due to post vasectomy pain, varicocele, testicular trauma etc. The objective of our study is to review the different disease patterns in patients presenting with scrotal pain in a tertiary care hospital.Methods: Patients presenting with scrotal pain to the out-patient clinic and the emergency department were included in the study. All patients were subjected to urinalysis and ultrasound of scrotum with color Doppler study when needed. Descriptive variables were studied and analyzed.Results: Eighty three patients were enrolled in the study during the period of one year. Age ranged from 13 to 72 years; most of the patients were less than 40 years and more than 20 years. Among this age group non-specific orchalgia was very common. Isolated epididymitis was seen in only 4 (4.81%) patients. Epididymo-orchitis was found in 16 (19.27%) patients. Torsion of testis was found in 6 patients (7.22%). The major bulk of the patients presenting with scrotal pain were nonspecific which was found in 39 (46.98%) and exact cause could not be found in them. Total of 15 (18%) patients had acute presentation.Conclusion: Management of Scrotal pain can be simple or at times organ threatening, proper diagnosis and treatment by clinical judgment and necessary investigation is very important.Journal of Society of Surgeons of NepalVol. 17, No. 2, 2014, Page: 31-34

show abstract

“…One prior study specifically evaluated the utility of the UA in pediatric patients with epididymitis. 17 It found that pyuria and positive urine cultures were rare in pediatric epididymitis. The authors recommended that a UA and urine culture be routinely performed as antibiotics can be withheld unless there is pyuria or a positive urine culture.…”

Section: Discussionmentioning

confidence: 99%

“…The authors recommended that a UA and urine culture be routinely performed as antibiotics can be withheld unless there is pyuria or a positive urine culture. 17 The question of whether or not to give antibiotics to pediatric patients with epididymitis is important, but this study asks an even more basic question: is UA needed at all for evaluating patients with scrotal pain (and possible epididymo-orchitis)?…”

Section: Discussionmentioning

confidence: 99%

<p>Assessing the Utility of Ultrasound and Urinalysis for Patients with Possible Epididymo-Orchitis – A Retrospective Study</p>

Zitek

Ahmed

Lim

et al. 2020

OAEM

View full text Add to dashboard Cite

Purpose: Many experts recommend ordering an ultrasound and a urinalysis on all patients with scrotal pain. While the ultrasound may help diagnose a number of potential causes of scrotal pain, the urinalysis primarily has value in assessing for epididymo-orchitis. This study sought to evaluate the utility of these diagnostic tests for patients who presented to the emergency department (ED) with acute scrotal pain and possible epididymo-orchitis. Patients and Methods: This was a single-center chart review of patients presenting to the ED with scrotal pain. Trained research assistants reviewed charts to obtain urinalysis and ultrasound results as well as diagnoses and treatments provided. Using the final diagnosis as a gold standard, the sensitivity and specificity of ultrasound and urinalysis were calculated for the diagnosis of epididymo-orchitis. Also, through a prespecified definition of "changed management," we estimated the percentage of cases in which a urinalysis changed management of patients with acute scrotal pain. Results: We identified 663 adult and pediatric patients who presented with scrotal pain during 2016. All patients had an ultrasound performed, and 458 (69.1%) had a urinalysis done. The sensitivity of urinalysis for epididymo-orchitis was 58.2% (95% CI 48.9% to 67.1%), and the specificity was 85.1% (95% CI 80.8% to 88.7%). For ultrasound, the sensitivity was 78.8% (95% CI 71.4% to 85.0%) and the specificity was 98.1% (95% CI 96.4% to 99.1%). In 24 of 458 cases (5.2% [95% CI 3.4% to 7.7%]) where a urinalysis was obtained, its results may have changed management of the patient. Conclusion: The diagnosis of patients who present to the ED with scrotal pain is primarily driven by the ultrasound results. While the urinalysis may occasionally provide some benefit in the evaluation of patients with suspected epididymo-orchitis, the reflexive ordering of a urinalysis in patients with scrotal pain may be unnecessary.

show abstract

Acute Epididymitis in Children: the Role of the Urine Test

Cited by 14 publications

References 17 publications

Prospective Validation of Clinical Score for Males Presenting With an Acute Scrotum

Prospective Validation of Clinical Score for Males Presenting With an Acute Scrotum

Patterns of scrotal pain in a hospital setting

<p>Assessing the Utility of Ultrasound and Urinalysis for Patients with Possible Epididymo-Orchitis – A Retrospective Study</p>

Contact Info

Product

Resources

About