In order to reach the diagnosis, clinical suspicion and differentiation from the more frequently encountered malignancies and inflammatory conditions such as epididymo-orchitis
: a retrospective multicenter study of 28 cases and review of the literature.
Of the cases of secondary hydrocele, 8 developed following previous episodes of epididymo-orchitis
. One patient with a hydrocele was found to have an underlying testicular malignancy on scrotal ultrasound.
after intravesical BCG therapy for superficial bladder carcinoma: sonographic findings.
Among patients diagnosed with UTIs, 119 (63.3%) had pyelonephritis, 54 (28.7%) had cystitis, 7 (3.7%) urosepsis, 5 (2.7%) had prostatitis,, 2 (1.1%) had epididymo-orchitis
, one had pyonephrosis.
Analyzed parameters included the patients' demographic data, dates of treatment, local and systemic side effects (dysuria, hematuria, cystitis, headache, arthralgia/myalgia, chills, high fever, malaise, epididymo-orchitis
, renal abscess, pneumonia, hepatitis, sepsis), need for hospitalization, need for antituberculous therapy, treatment discontinuation due to side effects, and dosage received.
These percentages were similar in cases of epididymo-orchitis
or no pathology.
Testicular involvement by IgG4-RD can occur as a paratesticular pseudotumor or epididymo-orchitis
characterized by coagulative and liquefactive caused by Salmonella spp.
Aside from identifying potential risk factors for infectious causes of scrotal pain such as epididymo-orchitis
, men with a history of abuse are at an increased risk of CP/CPPS (27) (Level of evidence 3, Grade C).
In this retrospective study, we identified genital/paragenital infections (epididymitis, epididymo-orchitis
, prostato-vesiculo-epididymitis) as the leading cause of acute scrotal pain (58.4%).
The scrotal ultrasound showed no torsions, but revealed left epididymo-orchitis
, large complex left scrotal hydrocele, and bilateral testicular microlithiasis.