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Results for “EPIDIDYMITIS”

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PubMedDate not supplied

[Sexual function after the surgical treatment of acute epididymitis].

Operative management of acute epididymitis performed in 150 patients aged 18-67 produced better therapeutic results compared to 150 patients treated conservatively (9.1 patient day versus 13.3 days). Follow-up for 2-4 years showed marked intergroup differences as regards anatomic changes in the epididymis revealed by palpation and ultrasound scanning. Echographic pattern was altered in 25 operated on and 92 patients treated conservatively. Copulative function was diminished in few cases in those operated on and much more frequently after conservative treatment, libido and erection in particular. Reproductive function was impaired more profoundly after conservative treatment as well. These patients demonstrated lower levels of testosterone and estradiol but higher content of LH and FSH. The latter hormones did not vary with age among the groups. Better effect of scrotal drainage in acute nonspecific epididymitides is attributed to the influence of inflammation-affected epididymis on the contralateral testicle more intensive under conditions of closed (nondrained) inflammation.

Acute Disease↗
PubMed1990

Epididymitis in the young adult male.

Epididymitis, the most common intrascrotal inflammation, accounts for more than 600,000 yearly visits to health care providers in the United States. Previously though to be of idiopathic origin, most cases in young male adults now are recognized as arising from sexually transmitted pathogens. Appropriate assessment depends on a high index of clinical suspicion, evaluation for the presence of urethritis, and appropriate cultures. Antibiotic therapy is the most important aspect of treatment, and sexual partners must be evaluated and treated. The high incidence of this disorder and its implication for future male fertility present a challenge to the health care provider in the ambulatory care setting.

Adolescent↗
PubMed1990

[Initial therapy of acute unilateral epididymitis using ofloxacin. II. Andrological findings].

A total of 70 men suffering from uncomplicated acute unilateral epididymitis were enrolled in a prospective study. They were treated initially with 2 x 200 mg ofloxacin p.o. per day for 14 days, after which the spermatological examination was repeated for each. Ejaculate quality, i.e. density, motility, and morphology of spermatozoa, was determined on the last day of therapy, i.e. after 14 days, and again after 6 and 12 weeks. In most patients, initially decreased sperm counts increased significantly and global motility improved, while the numbers of abnormal spermatozoa decreased. Only in a few cases were azoospermia, kryptozoospermia, consistently reduced motility, and constant or even increasing numbers of deformed spermatozoa observed.

Acute Disease↗
PubMedDate not supplied

Testicular torsion or acute epididymitis? Diagnosis and treatment.

The differentiation between torsion and epididymitis can be extremely difficult because only 50% or less of cases involving testicular torsion exhibit the classically expected findings. Therefore a careful history and complete analysis of the physical and laboratory findings are warranted. When needed, the judicious use of collaborative tests will point the clinician toward the appropriate diagnosis.

Adolescent↗
PubMed1978

Preliminary characterization of viruses isolated from cases of epididymitis and vaginitis in cattle.

Twelve slow-growing virus isolates propagated in tissue culture from cattle with epididymitis and vaginitis were identified as herpes viruses by virtue of their biological, physicochemical and morphological characteristics. None of the 12 virus strains proved to be serologically related to the infectious pustular vulvo-vaginitis-infectious bovine rhinotracheitis (IPV-IBR) virus, but a further 3 strains included in this study were identical with IPV-IBR virus. Three of the slow-growing virus strains caused a mild anterior vaginitis when deposited in the vagina of heifers. A pool of 10 slow-growing viruses plus a strain of IPV-IBR virus produced anterior and posterior vaginitis in a heifer. the results are discussed in the light of the original description of vaginitis in the "epivag" syndrome.

Animals↗
PubMed1990

Bacterial epididymitis in two stallions.

Two stallions had unilateral bacterial epididymitis attributable to S zooepidemicus infection. Diagnosis was based on bacterial isolation, WBC in the semen, higher than normal blood fibrinogen concentration, and leukocytosis with regenerative left shift. One horse had high seminal pH. Ultrasonography of the involved epididymides revealed changes consistent with the appearance of abnormal accumulation of exudate in the tail of the epididymis. Treatment included unilateral orchiectomy and antibiotic administration. In stallion 1, the infection persisted despite treatment. Treatment result was not available for stallion 2.

Animals↗
PubMed1990

[Experience with the use of physiotherapy in treating epididymitis].

Physiotherapy was employed in multiple-modality treatment of 217 patients suffering from urethritis complicated by epididymitis. The following physiotherapeutic modalities were employed: UHF inductothermy, UHF electrophoresis inductothermy with potassium iodide, UHF inductothermy + i. m. injections of trypsin, UHF trypsin electrophoresis inductothermy, which proved to be the most effective of all.

Adolescent↗
PubMed1989

[Surgical therapy of epididymitis].

Five hundred and seventy-five patients with acute epididymitis were hospitalized between 1979 and 1987, and 149 of them (25.9%) underwent surgery to the epididymis or the testis. For removal of the morphological alterations responsible for the inflammation, secondary operations were required in 157 cases (27.3%). We divided the patients into four age groups (under 15 years, 15-30 years, 31-60 years and more than 60 years), because the operative treatment indicated depends partly on the patient's age. For every age group the value of different follow-up examinations was checked. Prepubertal children have to be considered separately.

Adolescent↗
PubMed1989

[Spectinomycin resistant gonococcal infections in West Germany. Detection in 7 patients and occurrence of post-gonorrheal epididymitis caused by the spectinomycin-resistant PPNG strain].

Seven patients (four men, three women) with gonococcal urethritis resistant to spectinomycin treatment were seen in May and June 1989 in the Department of Dermatology in Berlin (West), and strains of Neisseria gonorrhoeae (NG) resistant to spectinomycin were detected, cultured in vitro from these individuals. In five of the seven patients penicillin-resistant strains were found, including a penicillinase-producing strain in one case; the other two patients had penicillin-sensitive strains. In all cases the NG-populations detected were sensitive to cephalosporin and cipro(oxo)floxacin. In a 17-year-old young man with the PPNG strain severe gonococcal epididymitis developed after repeated infection that had been inadequately treated with spectinomycin. All seven patients mentioned sexual contact with individuals who lived in Southeast Asia or had their origins there; in at least four cases the contact persons came from Thailand. This is the first report on spectinomycin-resistant Neisseria gonorrhoeae infections (PPNG and non-PPNG) in the Federal Republic of Germany. The necessity for monitoring the results of penicillin and/or spectinomycin treatment of gonorrhoea are underlined for the dermatovenereologist, and some guidelines for therapy are given.

Adolescent↗
PubMedDate not supplied

[Scrotal vasculitis simulating recurrent epididymitis].

We present a case of scrotal vasculitis, of difficult diagnosis despite the patient's history, where it was necessary to resort to surgery in order to establish definitely its diagnostic differentiation with a specific epididymitis. Taking advantage of this uncommon form of presentation of scrotal vasculitis, in this case an evolved Schonlein-Henoch syndrome in a 35-year-old patient, we analyse the different forms of gonad, epididymis and scrotal affectation recognised in cases of vasculitis, with special reference to the forms of acute presentation, simulating testicle torsion.

Adult↗
PubMed1989

Tuberculous epididymitis: a case report.

Tuberculous infections of the male genital tract are very uncommon in Australasia. A case of isolated epididymal tuberculosis following a prolonged latent period is presented and the pathogenesis and treatment is discussed.

Antitubercular Agents↗
PubMed1988

Gonococcal epididymitis.

A case of gonococcal epididymitis is discussed. The patient was successfully treated with tetracycline 500 mg orally, every six hours for ten days, with a complete resolution of symptoms.

Adult↗
PubMed1987

[Epididymitis in adults. Retrospective study of 110 cases].

A review was conducted of 110 cases of epididymitis, most of these patients (71.9%), especially those under 50 years of age, having negative urine cultures: this appears to confirm the high frequency of Chlamydia T infection in the age group 20 to 50 years when sexual activity is at its maximum. Urinary output was normal in 60 of 79 patients and urography exploration provided normal results in 69 of the 110 patients (63%), particularly in those under 50. It is concluded, therefore, that urography is not necessary in patients under 50 but remains necessary in those in older age groups.

Acute Disease↗
PubMed1987

[Orchitis and epididymitis caused by Salmonella cholerae suis in a premature infant].

It is reported on a premature infant who fell ill with an orchitis and epididymitis by Salmonella cholerae suis in the fourth week of life. The proof of the germs was carried out by means of two blood cultures as well as in the smear from the periorchium. The most important informations from literature concerning this subject are briefly reviewed.

Epididymitis↗
PubMed1985

Prevalence and causes of ram epididymitis in Utah.

Palpation of the testicles and epididymides was used to determine the prevalence of ram epididymitis (RE) in Utah range flocks over a 5-year period. Of 62 range flocks examined, 58 had rams with palpable lesions. A comparison was made of prevalence by right vs left testicle involvement, but no significant difference was found. Culling all rams with palpable lesions from the flock progressively reduced the annual incidence, but did not eliminate RE from any flock. Semen and specimens of reproductive tract tissue were obtained from representative flocks for bacterial culture. Brucella ovis was found commonly in range flocks, but was not isolated from RE-affected rams in virgin, ram-producing flocks. In the ram-producing flocks, a gram-negative, pleomorphic rod-type organism was found. It was concluded that RE should be considered as 2 disease entities, based on the finding of 2 causative organisms and the management systems under which those organisms are found. Brucella ovis was the major cause in persistently infected range flocks, whereas the gram-negative pleomorphic rod-type organism is the apparent cause of RE in virgin, ram-producing flocks.

Animals↗
PubMed1985

Acute epididymitis with abscess formation in an infant.

A case of non-specific epididymitis with acute abscess formation in a 3-month-old infant is presented. Excision of the abscess was curative. The need of further examinations in the presence of urological symptoms is emphasized.

Abscess↗
PubMed1977

[Pharmacokinetic studies of "Pharmachem" tylosin with healthy and infectious epididymitis-affected rams].

The retention in blood and the excretion with semen were followed up of tylosin-base, product of the State Economic Corporation "Pharmachim" (People's Republic of Bulgaria). It was found that at muscular application (12 mg/kg) the preparation is resorbed at the site of injection and is retained at a therapeutic level concentration in the blood of rams in the course of 24 to 26 hours. Tylosin gains access to the testes and is excreted with the semen at the same rate as in infectious epididymitis-intact rams. No correlation has been observed between the blood level of tylosin and the content of tylosin in the spermal plasma. The single treatment of rams with tylosin at the dosing cited above is not able to arrest the excretion of Brucella organisms with the semen, and does not improve its morphologic composition.

Animals↗