Epididymoorchitis natural history, complications and prognosis: Difference between revisions
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==Overview== | ==Overview== | ||
The prognosis of epididymoorchitis is usually excellent, with the majority of cases resolving within 30 days of initiation of medical therapy. However, some cases can progress to [[chronic]] epididymoorchitis. Other complications of epididymoorchitis include [[abscess]] formation, [[testicular]] [[infarction]], [[sepsis]] and [[infertility]]. | |||
==Natural History== | ==Natural History== | ||
If left untreated, acute epididymoorchitis may progress to [[chronic]] cases.<ref name="CDC1"> Center for Disease Control and Prevention https://www.cdc.gov/std/tg2015/evidence-tables/epididymitistableevidence-2015.pdf. Accessed on Dec. 28, 2016 </ref> | |||
==Complications== | ==Complications== | ||
Some of the complications of an [[acute]] epididymoorchitis [[infection]] include:<ref name="CDC1"> Center for Disease Control and Prevention https://www.cdc.gov/std/tg2015/evidence-tables/epididymitistableevidence-2015.pdf. Accessed on Dec. 28, 2016 </ref> | Some of the complications of an [[acute]] epididymoorchitis [[infection]] include:<ref name="CDC1"> Center for Disease Control and Prevention https://www.cdc.gov/std/tg2015/evidence-tables/epididymitistableevidence-2015.pdf. Accessed on Dec. 28, 2016 </ref> | ||
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*Formation of a reactive [[hydrocele]] | *Formation of a reactive [[hydrocele]] | ||
*[[Abscess]] formation | *[[Abscess]] formation | ||
*[[Infarction]] of the [[testicle]] | |||
*[[Sepsis]] | *[[Sepsis]] | ||
*[[Infertility]] | *[[Infertility]] | ||
==Prognosis== | ==Prognosis== | ||
The prognosis of epididymoorchitis is usually excellent. In young patients in whom epididymoorchitis is due to a [[sexually transmitted disease]], [[acute]] epididymoorchitis usually resolves within 2 weeks of the initiation of medical therapy. In men older than the age of 40, 90% of cases of epididymitis resolve within 30 days of treatment.<ref name="pmid11350430">{{cite journal |vauthors=Luzzi GA, O'Brien TS |title=Acute epididymitis |journal=BJU Int. |volume=87 |issue=8 |pages=747–55 |year=2001 |pmid=11350430 |doi= |url=}}</ref> | |||
==References== | ==References== | ||
Latest revision as of 18:53, 3 April 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dima Nimri, M.D. [2]
Overview
The prognosis of epididymoorchitis is usually excellent, with the majority of cases resolving within 30 days of initiation of medical therapy. However, some cases can progress to chronic epididymoorchitis. Other complications of epididymoorchitis include abscess formation, testicular infarction, sepsis and infertility.
Natural History
If left untreated, acute epididymoorchitis may progress to chronic cases.[1]
Complications
Some of the complications of an acute epididymoorchitis infection include:[1]
- Progression of the infection to chronic epididymoorchitis
- Formation of a reactive hydrocele
- Abscess formation
- Infarction of the testicle
- Sepsis
- Infertility
Prognosis
The prognosis of epididymoorchitis is usually excellent. In young patients in whom epididymoorchitis is due to a sexually transmitted disease, acute epididymoorchitis usually resolves within 2 weeks of the initiation of medical therapy. In men older than the age of 40, 90% of cases of epididymitis resolve within 30 days of treatment.[2]