Acute epididymo-orchitis a retrospective study of 189 cases and review of literature

To analyze the clinical features, laboratory results and response to treatment of patients with acute epididymo-orchitis who presented to our urology unit from June 2005 to July 2006 and to review the pathogenesis and outcome. Retrospective study. Urology Department, Al-Sabah Hospital - Kuwait. The medical records of all patients admitted with a diagnosis of epididymo-orchitis from June 2005 to July 2006 were reviewed. Ultrasonography of the scrotum was performed in every case as an aid to make a diagnosis or to exclude other testicular pathologies. Studying the hospital records of 189 patients with acute scrotal swellings due to epididymitis or epididymo-orchitis, admitted at Urology Department Al-Sabah Hospital, Kuwait from June 2005 to July 2006 were reviewed. Epididymo-orchitis is a common clinical syndrome in Urological practice, in men younger than 35 years of age epididymo-orchitis is most often caused by sexually transmitted pathogens such as Chlamydia trachomatis and Neisseria gonorrhea. In men older than 35 years of age epididymo-orchitis is most often caused by non-sexually transmitted Gram negative enteric organisms causing urinary tract infections. In our retrospective study, we define the exact pathogenesis of acute scrotal swellings and methods to diagnosis and management of acute epididymo-orchitis along with appropriate treatment strategy according to causative organisms

Secondary epididymal tumours

Two cases of involvement of the epididymus [secondary epididymal tumours] are described. In the first, a high grade non-Hodgkin's lymphoma was diagnosed; the second case was found to derive from a lymphoctyic leukaemia. The diagnostic modalities which are of greatest use are those of ultrasound and, in cases of any lingering doubt, exploration of the testis through an inguinal route