Medical College of Wisconsin
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Scrotal ultrasonography: a predictor of complicated epididymitis requiring orchiectomy. J Urol 1988 Jan;139(1):55-6 PMID: 3275802

Pubmed ID

3275802

Abstract

The decision between continued medical therapy and surgical exploration in patients with complicated epididymitis is difficult. We evaluated scrotal ultrasonography as a noninvasive aid in such problematic cases. During a 48-month period 95 patients were hospitalized for treatment of epididymitis; 23 underwent scrotal ultrasonography and 10 required orchiectomy. Analysis of the 21 cases with abnormal findings demonstrated that orchiectomy was necessary in 1 of the 10 patients (10 per cent) with epididymal enlargement only, in 2 of 8 (25 per cent) with epididymal enlargement plus hypoechoic testes and in all 3 with epididymal enlargement plus testicular inhomogeneity (p equals 0.0099). Patients with progressive testicular changes on serial ultrasound examinations uniformly required orchiectomy (5 of 5). Sonographic findings of testicular inhomogeneity correlated with testicular infarction and findings of decreased testicular echogeneity correlated with acute or chronic orchitis. In the appropriate clinical setting gray scale ultrasonography provides objective information supporting the need for surgical intervention in selected patients with complicated epididymitis.

Author List

See WA, Mack LA, Krieger JN

Author

William A. See MD Chair, Professor in the Urologic Surgery department at Medical College of Wisconsin




Scopus

2-s2.0-0023911090   16 Citations

MESH terms used to index this publication - Major topics in bold

Epididymitis
Humans
Male
Orchiectomy
Orchitis
Probability
Scrotum
Ultrasonography
jenkins-FCD Prod-336 69ef4a6b262d135130251597d5d39873903802b5