Epididymitis and Testis Tumor

Bigley, H. Alan

doi:10.1001/jama.1977.03280030050024

JAMA

1977

DOI: 10.1001/jama.1977.03280030050024

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Epididymitis and Testis Tumor

H. Alan Bigley¹

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1980

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Cited by 5 publications

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The aetiology and management of acute epididymitis

Redfern

English

Baumber

et al. 1984

British Journal of Surgery

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The aetiology of acute epididymitis presenting to a surgical unit in a District General Hospital is presented. Patients over 45 years old frequently have a coliform urinary tract infection which may be associated with bladder neck obstruction. These patients require treatment with a suitable antibiotic (Co-trimoxazole) and further investigation. This condition occurs more commonly in patients under 45 years old in whom it is not associated with urinary tract infection. We have not demonstrated significant chlamydial infection and in a double blind study the antibiotic Co-trimoxazole did not hasten recovery. In this group the aetiology remains obscure.

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The aetiology and management of acute epididymitis

Redfern

English

Baumber

et al. 1984

British Journal of Surgery

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Radical orchidectomy and benign testicular conditions

Robertson

1995

British Journal of Surgery

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The records of 149 patients who underwent testicular exploration for suspected malignancy were reviewed retrospectively. Malignancy was confirmed in 102 patients but benign pathology was noted in 47. Patients with benign disease were older, more likely to be Asian, gave a longer history and on examination were less likely to have a testicular mass. Increased levels of tumour markers, and ultrasonographic and operative appearance of the testis were highly predictive; with ultrasonography having a sensitivity of 100 per cent but a specificity of only 36 per cent for malignancy. Preoperative ultrasonography and an awareness of the potentially benign nature of many lesions with the use of frozen-section biopsy, where appropriate, may allow a decrease in the currently high rate of unnecessary orchidectomy without missing testicular malignancy.

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Scrotal Explorations Negative for Malignancy

Altaffer

Steele

1980

Journal of Urology

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We reviewed 74 cases of scrotal exploration via an inguinal approach that were negative for malignancy. Of these explorations 24 (32 per cent) resulted in radical orchiectomy and 14 (19 per cent) resulted in simple orchiectomy. An additional 17 patients (23 per cent) had some other operation in addition to exploration. The most frequent final diagnoses were epididymitis (26 per cent), testicular torsion (18 per cent) and hydrocele (15 per cent). These data demonstrate that scrotal explorations to eliminate the possibility of malignancy result in a high orchiectomy rate for benign disease.

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Epididymitis and Testis Tumor

Cited by 5 publications

References 3 publications

The aetiology and management of acute epididymitis

The aetiology and management of acute epididymitis

Radical orchidectomy and benign testicular conditions

Scrotal Explorations Negative for Malignancy

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