Epididymitis
1961; Elsevier BV; Volume: 101; Issue: 6 Linguagem: Inglês
10.1016/0002-9610(61)90720-6
ISSN1879-1883
Autores Tópico(s)Urologic and reproductive health conditions
Resumo1.1. Three hundred ten cases of epididymitis, 189 collected in 1951 to 1955, and 121 in 1957 to 1959, have been reviewed. Two hundred seventy-nine were acute, thirty-one were chronic. 2.2. By making the hospital staff aware of both the potential gravity and diagnostic hazards of scrotal lesions, diagnostic errors were reduced from 17.9 per cent in the first series to 5.5 per cent in the second. 3.3. One hundred fifty-seven cases, or just over half, were of idiopathic origin (probably retrograde urination); sixty-four were in association with acute respiratory tract infection; seventy-four were secondary to infection in the urinary tract; eight were produced by chronic granulomas (tuberculosis seven, Boeck's sacroid one); and six were traumatic in origin. 4.4. Cases of epididymitis of idiopathic origin and those associated with infection in the respiratory tract were relatively benign; these patients responded to conservative therapy consisting of absolute bed rest, elevation of the scrotum and application of ice. Those with epididymitis secondary to infection in the urinary tract characteristically had a stormier course, and distinctly benefited from prompt and judicious use of specific anti-infective agents. 5.5. Thirty-eight major complications occurred in a group of thirty-seven patients (11.9 per cent), necessitating surgical intervention which in eight instances resulted in orchiectomy. A thirty-eighth patient was explored because of a later proven mistaken diagnosis. Only two instances of orchitis were found, the testicle having been destroyed by suppuration in both. Orchitis was not evident in the 272 patients not examined surgically.
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