Epididymoorchitis overview: Difference between revisions
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==Epidemiology and Demographics== | ==Epidemiology and Demographics== | ||
Data on epidemiology of epididymoorchitis is scarce, however, epididymoorchitis is the 5th most common [[genitourinary]] diagnosis made and disease is more prevalent among U.S. military men. Peak incidence of the disease is in men between the ages of 20 to 29 years.<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> | |||
==Risk Factors== | ==Risk Factors== | ||
Revision as of 23:50, 3 January 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
Historical Perspective
Cases of epididymoorchitis were described in literature as early as 1841.[1]It was believed that epididymitis was caused by chemical irritation caused by urine reflux. However, by 1979, a study showed that bacteria were responsible for more cases. [2]
Classification
Epididymoorchitis can be classified based on the extent of involvement into isolated cases of epididymitis, isolated cases of orchitis or cases of epididymoorchitis. Another means of classifying the disease is based on duration into acute or chronic epididymoorchitis. Finally, it can also be classified according to the causative agent into infectious, non-infectious and idiopathic causes.[2][3]
Pathophysiology
Epididymoorchitis refers to the inflammation of the epididymis and/or testes, with or without infection. While the pathogenesis is not fully understood, infectious epididymoorchitis is thought to be due to retrograde reflux of infected urine into the epididymis, which then spreads to the testes.[2][3]
Causes
The causes of epididymoorchitis can be divided into idiopathic, infectious and non-infectious causes.[4][3]
Differentiating Epididymoorchitis from other Diseases
Epididymoorchitis is a major cause of acute scrotum. Other causes of acute scrotum which must be differentiated from epididymoorchitis include testicular torsion and torsion of the testicular appendage.[2][5][4][6]
Epidemiology and Demographics
Data on epidemiology of epididymoorchitis is scarce, however, epididymoorchitis is the 5th most common genitourinary diagnosis made and disease is more prevalent among U.S. military men. Peak incidence of the disease is in men between the ages of 20 to 29 years.[4]
Risk Factors
Screening
Natural History, Complications and Prognosis
History and Symptoms
Physical Examination
Laboratory Findings
X Ray
CT
MRI
Ultrasound
Other Imaging Findings
Other Diagnostic Studies
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
References
- ↑ Taylor AJ (1841). "On the utility of compression in epididymitis: With cases". Prov Med Surg J (1840). 3 (53): 8–10. PMC 2489278. PMID 21379715.
- ↑ 2.0 2.1 2.2 2.3 Trojian TH, Lishnak TS, Heiman D (2009). "Epididymitis and orchitis: an overview". Am Fam Physician. 79 (7): 583–7. PMID 19378875.
- ↑ 3.0 3.1 3.2 Tracy CR, Steers WD, Costabile R (2008). "Diagnosis and management of epididymitis". Urol. Clin. North Am. 35 (1): 101–8, vii. doi:10.1016/j.ucl.2007.09.013. PMID 18061028.
- ↑ 4.0 4.1 4.2 Luzzi GA, O'Brien TS (2001). "Acute epididymitis". BJU Int. 87 (8): 747–55. PMID 11350430.
- ↑ Kadish HA, Bolte RG (1998). "A retrospective review of pediatric patients with epididymitis, testicular torsion, and torsion of testicular appendages". Pediatrics. 102 (1 Pt 1): 73–6. PMID 9651416.
- ↑ Ciftci AO, Senocak ME, Tanyel FC, Büyükpamukçu N (2004). "Clinical predictors for differential diagnosis of acute scrotum". Eur J Pediatr Surg. 14 (5): 333–8. doi:10.1055/s-2004-821210. PMID 15543483.