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Is follow-up ultrasound necessary after acute epididymitis? A retrospective analysis from a large university hospital.
Scand J Urol. 2018 Oct - Dec; 52(5-6):445-447.SJ

Abstract

OBJECTIVES

To evaluate the role of scrotal ultrasound in the follow-up after epididymitis for underlying serious testicular pathologies, which could be overseen in the acute phase.

METHODS

Retrospective chart reviews were performed for patients diagnosed with acute epididymitis at Herlev-Gentofte Hospital between 2006 and 2013. Patients were included if they had received the diagnosis after a clinical evaluation in the emergency department and had subsequently undergone antibiotic treatment and a follow-up scrotal ultrasound at a later date.

RESULTS

Overall, 118 patients fulfilled the inclusion criteria. The median age was 45 years (range = 18-80). The follow-up ultrasound scans showed no signs of significant pathology in 92/118. Incidental findings of hydroceles, spermatoceles, and varicoceles were made in eight, five and five of the 118, respectively. One patient had testicular tuberculosis and one had neglected testicular torsion. Six patients were diagnosed with suspicious testicular lesions and underwent surgery. Cancer was confirmed in four men (27, 32, 40, and 45 years old).

CONCLUSIONS

Epididymitis can be diagnosed and treated correctly without scrotal ultrasound in the majority of cases. However, the risk of underlying testicular cancer should be kept in mind. Patients below 50 years of age without bacteriuria and patients with persistent symptoms after antibiotic treatment should be referred to an urologist for a re-evaluation or for a follow-up ultrasound.

Authors+Show Affiliations

a Urology Department , Herlev-Gentofte Hospital , Herlev , 2730 , Denmark.a Urology Department , Herlev-Gentofte Hospital , Herlev , 2730 , Denmark.a Urology Department , Herlev-Gentofte Hospital , Herlev , 2730 , Denmark.a Urology Department , Herlev-Gentofte Hospital , Herlev , 2730 , Denmark.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30600755

Citation

Capet, J, et al. "Is Follow-up Ultrasound Necessary After Acute Epididymitis? a Retrospective Analysis From a Large University Hospital." Scandinavian Journal of Urology, vol. 52, no. 5-6, 2018, pp. 445-447.
Capet J, Sønsksen J, Bisbjerg R, et al. Is follow-up ultrasound necessary after acute epididymitis? A retrospective analysis from a large university hospital. Scand J Urol. 2018;52(5-6):445-447.
Capet, J., Sønsksen, J., Bisbjerg, R., & Fode, M. (2018). Is follow-up ultrasound necessary after acute epididymitis? A retrospective analysis from a large university hospital. Scandinavian Journal of Urology, 52(5-6), 445-447. https://doi.org/10.1080/21681805.2018.1545797
Capet J, et al. Is Follow-up Ultrasound Necessary After Acute Epididymitis? a Retrospective Analysis From a Large University Hospital. Scand J Urol. 2018 Oct - Dec;52(5-6):445-447. PubMed PMID: 30600755.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Is follow-up ultrasound necessary after acute epididymitis? A retrospective analysis from a large university hospital. AU - Capet,J, AU - Sønsksen,J, AU - Bisbjerg,R, AU - Fode,M, Y1 - 2019/01/02/ PY - 2019/1/3/pubmed PY - 2019/8/14/medline PY - 2019/1/3/entrez KW - Epididymitis KW - infection KW - pain KW - scrotal ultrasound KW - testicular cancer SP - 445 EP - 447 JF - Scandinavian journal of urology JO - Scand J Urol VL - 52 IS - 5-6 N2 - OBJECTIVES: To evaluate the role of scrotal ultrasound in the follow-up after epididymitis for underlying serious testicular pathologies, which could be overseen in the acute phase. METHODS: Retrospective chart reviews were performed for patients diagnosed with acute epididymitis at Herlev-Gentofte Hospital between 2006 and 2013. Patients were included if they had received the diagnosis after a clinical evaluation in the emergency department and had subsequently undergone antibiotic treatment and a follow-up scrotal ultrasound at a later date. RESULTS: Overall, 118 patients fulfilled the inclusion criteria. The median age was 45 years (range = 18-80). The follow-up ultrasound scans showed no signs of significant pathology in 92/118. Incidental findings of hydroceles, spermatoceles, and varicoceles were made in eight, five and five of the 118, respectively. One patient had testicular tuberculosis and one had neglected testicular torsion. Six patients were diagnosed with suspicious testicular lesions and underwent surgery. Cancer was confirmed in four men (27, 32, 40, and 45 years old). CONCLUSIONS: Epididymitis can be diagnosed and treated correctly without scrotal ultrasound in the majority of cases. However, the risk of underlying testicular cancer should be kept in mind. Patients below 50 years of age without bacteriuria and patients with persistent symptoms after antibiotic treatment should be referred to an urologist for a re-evaluation or for a follow-up ultrasound. SN - 2168-1813 UR - https://www.unboundmedicine.com/medline/citation/30600755/Is_follow_up_ultrasound_necessary_after_acute_epididymitis_A_retrospective_analysis_from_a_large_university_hospital_ L2 - https://www.tandfonline.com/doi/full/10.1080/21681805.2018.1545797 DB - PRIME DP - Unbound Medicine ER -