3,474 results match your criteria Epididymitis

: test positivity in syndromic presentations and clinicians' adherence with treatment guidelines at Sydney Sexual Health Centre.

Int J STD AIDS 2021 Jun 9:9564624211022583. Epub 2021 Jun 9.

The Kirby Institute, UNSW Sydney, Sydney, NSW, Australia.

() is associated with urethritis, cervicitis, pelvic inflammatory disease, proctitis and epididymitis. Its treatment is complicated by antimicrobial resistance. To assess clinicians' adherence to diagnostic testing recommendations for syndromic presentations, as well as resistance-guided management of at Sydney Sexual Health Centre, we reviewed patients presenting between August and December 2018. Read More

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Malignant mesothelioma of tunica vaginalis: Two extremely rare case reports.

Urologia 2021 Jun 9:3915603211022942. Epub 2021 Jun 9.

Urology Department, University of Health Sciences Tepecik Education and Research Hospital, Izmir, Turkey.

Introduction: Malignant mesothelioma (MM) of tunica vaginalis is a very rare tumor and it has a poor prognosis. It is not easy to diagnose the disease preoperatively because there is a lack of comprehensive studies and information about the disease. We would like to present our two cases with severe scrotal edema and hydrocele, which were debrided perioperatively due to scrotal necrosis, followed by radical inguinal orchiectomy and subsequently diagnosed as MM of tunica vaginalis. Read More

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Tuberculosis Relapse in the Epididymis After the Completion of Nine Months of Anti-Tuberculosis Chemotherapy in a Patient with Poorly Controlled Diabetes Mellitus.

Ther Clin Risk Manag 2021 25;17:463-470. Epub 2021 May 25.

Division of Diabetes and Metabolic Diseases, Department of Internal Medicine, Nihon University School of Medicine, Tokyo, Japan.

The standard six-month tuberculosis (TB) treatment comprises an intensive phase lasting two months, followed by a continuation phase lasting four months. Meanwhile, the nine-month regimen, which has a prolonged continuation phase, is indicated for patients with complicated diabetes mellitus (DM) because of their poor response to treatment. A 61-year-old Japanese man with poorly controlled DM for five years presented with bilateral scrotal swelling noticed two weeks ago. Read More

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Botulinum toxin injections for Japanese patients with urinary incontinence caused by neurogenic detrusor overactivity: Clinical evaluation of onabotulinumtoxinA in a randomized, placebo-controlled, double-blind trial with an open-label extension.

Int J Urol 2021 Jun 1. Epub 2021 Jun 1.

Clinical Development (Specialty), Japan Medical and Development, GlaxoSmithKline K.K., Tokyo, Japan.

Objective: To assess the efficacy and safety of botulinum toxin treatment (onabotulinumtoxinA 200 units) for Japanese patients with neurogenic detrusor overactivity caused by spinal cord injury or multiple sclerosis.

Methods: Patients with urinary incontinence refractory to pharmacological treatment were enrolled and randomized in a phase III trial. A single dose of onabotulinumtoxinA (n = 11) or placebo (n = 10) was given in the double-blind phase, and repeat injections of onabotulinumtoxinA were given in the subsequent open-label phase. Read More

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A rare case of polyorchidism in a 40-year-old man. A case report.

Ann Med Surg (Lond) 2021 Jun 12;66:102389. Epub 2021 May 12.

Radiology Department, Aleppo University Hospital, Aleppo, Syria.

Introduction: and importance Polyorchidism is defined as the presence of three testes or more. Approximately, there are about 200 cases of polyorchidism in the medical literature. In the past, surgical treatment was done but now with imaging studies, less aggressive approach is recommended. Read More

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The effect of obesity on human reproductive health and foetal life.

Hum Fertil (Camb) 2021 May 21:1-12. Epub 2021 May 21.

Department of Nutrition and Dietetics, Istanbul Medipol University, Istanbul, Turkey.

Obesity in both women and men is regarded as one of the many factors that may contribute to impaired reproductive health. Obesity can be accompanied by several neuroendocrine and ovarian dysfunctions, including chronic oligo/anovulation, menstrual irregularities, subfertility, and the increased risk of pregnancy in women. Insulin resistance, elevated triglyceride and fatty acid levels, and the secretion of adipocytokines caused by the excessive accumulation of adipose tissue associated with obesity adversely affect reproductive functions. Read More

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A case of epididymoorchitis without testicular infarction presenting with reversal of diastolic testicular flow on Doppler ultrasonography.

Urol Case Rep 2021 Sep 26;38:101694. Epub 2021 Apr 26.

Department of Urology, Boston Medical Center, Boston University, Boston, MA, 02118, USA.

An acute scrotum is a common clinical scenario prompting urologic involvement. Scrotal ultrasonography with Doppler is the main imaging modality utilized for the evaluation of an acute scrotum and can help distinguish testicular torsion from epididymoorchitis, two common causes of testicular pain. Testicular infarction is a rare but potential complication of epididymoorchitis. Read More

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September 2021

Epididymal Sperm Granuloma and Antisperm Antibodies in Donkeys.

J Equine Vet Sci 2021 Jun 23;101:103450. Epub 2021 Mar 23.

Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois Urbana Champaign, Urbana IL. Electronic address:

This study aimed to describe and compare semen parameters (pre-freeze and post-freezing) and antisperm antibodies (ASA) of donkeys with epididymal sperm granuloma and healthy controls. Feral donkeys (n = 10) castrated in a concurrent study were enrolled in the present experiment. Three donkeys had unilateral granulomas, two donkeys had bilateral granulomas, whereas the remaining five had grossly normal epididymides. Read More

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In-cell western assay as a high-throughput approach for Chlamydia trachomatis quantification and susceptibility testing to antimicrobials.

PLoS One 2021 11;16(5):e0251075. Epub 2021 May 11.

Department of Public Health and Infectious Diseases, Section of Microbiology, University of Rome "Sapienza", Rome, Italy.

Chlamydia trachomatis, the leading cause of bacterial sexually transmitted diseases in developed countries, with around 127 million new cases per year, is mainly responsible for urethritis and cervicitis in women, and urethritis and epididymitis in men. Most C. trachomatis infections remain asymptomatic (>50%) and, hence, untreated, leading to severe reproductive complications in both women and men, like infertility. Read More

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Surgical or radiological treatment for varicoceles in subfertile men.

Cochrane Database Syst Rev 2021 04 23;4:CD000479. Epub 2021 Apr 23.

Cochrane Austria, Department for Evidence-based Medicine and Evaluation, Danube University Krems, Krems, Austria.

Background: Varicoceles are associated with male subfertility; however, the mechanisms by which varicoceles affect fertility have yet to be satisfactorily explained. Several treatment options exist, including surgical or radiological treatment, however the safest and most efficient treatment remains unclear.  OBJECTIVES: To evaluate the effectiveness and safety of surgical and radiological treatment of varicoceles on live birth rate, adverse events, pregnancy rate, varicocele recurrence, and quality of life amongst couples where the adult male has a varicocele, and the female partner of childbearing age has no fertility problems. Read More

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Henoch-Schönlein Purpura With Scrotal Involvement: A Case Report and Literature Review.

J Pediatr Hematol Oncol 2021 Apr 21. Epub 2021 Apr 21.

Shandong University of Traditional Chinese Medicine Department of Pediatrics, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, Shandong, People's Republic of China.

Henoch-Schönlein purpura (HSP) is the most common vasculitis of childhood and affects the small blood vessels, leading to arthritis, abdominal pain, and renal involvement. However, scrotal involvement is a rare complication of HSP and scrotal pain. Swelling is the most frequent clinical presentation and can be easily confused with testicular torsion. Read More

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Reply to "Emphysematous Epididymoorchitis".

AJR Am J Roentgenol 2021 06 21;216(6):W31. Epub 2021 Apr 21.

University Hospitals Cleveland Medical Center, Case Western Reserve University Cleveland, OH.

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Men's Health: Scrotal and Testicular Conditions.

FP Essent 2021 Apr;503:23-27

University of Michigan Medical School Department of Family Medicine, 300 North Ingalls St NI4C06, Ann Arbor, Michigan 48109-5435.

Scrotal and testicular conditions include benign masses, infections, testicular torsion, and testicular cancer. Common palpable benign scrotal masses include spermatocele, varicocele, and hydrocele. Most patients with these masses require no treatment. Read More

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Efficacy and Safety of Ningmitai Capsules in Patients with Chronic Epididymitis: A Prospective, Parallel Randomized Controlled Clinical Trial.

Evid Based Complement Alternat Med 2021 27;2021:9752592. Epub 2021 Mar 27.

Department of Urology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021, Shandong, China.

Objectives: To evaluate the efficacy and safety of Ningmitai (NMT) capsules in patients with chronic epididymitis.

Methods: This prospective randomized controlled trial included 112 patients diagnosed with chronic epididymitis. The patients were randomized (1 : 1 : 1) to receive levofloxacin (LVX), NMT, or NMT combined with LVX for 4 weeks. Read More

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Emphysematous Epididymoorchitis.

AJR Am J Roentgenol 2021 06 14;216(6):W30. Epub 2021 Apr 14.

All India Institute of Medical Sciences, New Delhi, India

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Ultrasound aspects of symptomatic versus asymptomatic forms of male accessory gland inflammation.

Andrology 2021 Apr 5. Epub 2021 Apr 5.

Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy.

Background: The ultrasound (US) evaluation of the male sex accessory gland inflammation (MAGI) helps the clinicians to understand the severity of this condition, allowing them to distinguish the uncomplicated form (prostatitis) from the complicated ones (prostate-vesiculitis and prostate-vesiculitis-epididymitis), as well as the unilateral from the bilateral forms, the fibrosclerotic and the hypertrophic-congestive form.

Objective: This retrospective study aimed to evaluate the US features of MAGI patients with active symptoms compared to patients without sexual, voiding, and ejaculatory dysfunction.

Materials/methods: To achieve this aim, an analysis of the prevalence of MAGI US criteria was carried out on a very large series of over 500 patients diagnosed with MAGI classified according to the different symptom profile evaluated through a dedicated questionnaire (previously conceived and published by our group) arbitrarily named "structured interview about MAGI" (SI-MAGI) for sexual, voiding, and ejaculatory disorders reported by these patients. Read More

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Case Report: Dendritic Cells and Macrophages Capture Sperm in Chronically Inflamed Human Epididymis.

Front Immunol 2021 23;12:629680. Epub 2021 Feb 23.

Department of Urology, Fujian Medical University Union Hospital, Fuzhou, China.

Chronic inflammation of the male genital tract is thought to be a primary etiological factor of male infertility. The abundance and activation of macrophages and dendritic cells in patients with chronic inflammation of genital tract were closely associated with oligozoospermia and asthenospermia. Chronic epididymitis appears to be more important than seminal vesiculitis or prostatitis due to the direct interaction between spermatozoa and epididymal inflammatory cells. Read More

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February 2021


J Paediatr Child Health 2021 04 11;57(4):594-595. Epub 2021 Mar 11.

Department of Pediatric Infectious Disease, Dr. Sami Ulus Maternity and Children's Health and Diseases Training and Research Hospital, Ankara, Turkey.

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[Acute prostatitis associated with noncancerous prostate at the Lubumbashi University Clinics: epidemioclinical and therapeutic features].

Pan Afr Med J 2020 1;37:290. Epub 2020 Dec 1.

Département de Chirurgie, Faculté de Médecine, Cliniques Universitaires de Lubumbashi, Université de Lubumbashi, Province du Haut Katanga, Ville de Lubumbashi, République Démocratique du Congo.

Introduction: acute prostatitis is a common urological condition. The purpose of this study was to analyze the epidemioclinical features and therapy of acute prostatitis associated with noncancerous prostate at the Lubumbashi University Clinics.

Methods: we conducted a descriptive cross-sectional and retrospective study of a series of 25 patients with documented acute prostatitis and treated at the Lubumbashi University Clinics over a period of four years, from 2015 to 2018. Read More

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SARS-CoV-2 infection affects the lower urinary tract and male genital system: A systematic review.

J Med Virol 2021 May 1;93(5):3133-3142. Epub 2021 Mar 1.

Department of Neurosciences, Reproductive Sciences and Odontostomatology, University of Naples Federico II, Naples, Italy.

PubMed, Scopus, and ISI Web of Knowledge databases were searched to identify studies published up to December 2020 on the involvement of urinary and male genital systems in COVID-19. Sixteen studies involving a total of 575 patients (538 males and 37 females) were included in this systematic review. The COVID-19 phase was available for 479 patients: 426 in the acute and 53 in the recovery phase. Read More

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Radiological patterns of incidental epididymitis in mild-to-moderate COVID-19 patients revealed by colour Doppler ultrasound.

Andrologia 2021 May 9;53(4):e13973. Epub 2021 Feb 9.

Androscience, Science and Innovation Center in Andrology and High-Complex Clinical and Research Andrology Laboratory, Sao Paulo, Brazil.

The testis is a potential target organ for SARS-CoV-2 infection. Our study intended to investigate any testicular involvement in mild-to-moderate COVID-19 men. We conduct a cross-sectional study in 18 to 55-year-old men hospitalised for confirmed COVID-19. Read More

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Case report: Epididymal tuberculosis abscess in patient immunocompetent.

Urol Case Rep 2021 May 21;36:101573. Epub 2021 Jan 21.

CHU IBN ROCHD, Casablanca, Morocco.

Tuberculous epididymitis is caused by . A 30-year-old patient, with a comorbidity of atrial fibrillation, presented with pain in the left testicular for 1 year. On physical examination revealed a patient febrile at 39 °C with a pain, Scrotal swelling. Read More

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Epididymitis associated with bacteremic pneumococcal pneumonia.

IDCases 2021 21;23:e01054. Epub 2021 Jan 21.

Infectious Diseases, Northwell Health, Manhasset, USA.

We describe a case of a 56 year-old male who presented to the hospital with pneumonia and bacteremia secondary to . After admission and initiation of appropriate antibacterial therapy he began to complain of scrotal pain. Ultrasound of the testes confirmed findings of left-sided epididymitis. Read More

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January 2021

A rare case of synchronous bilateral epididymal and testicular metastases of urothelial carcinoma of the bladder after intravesical bacillus Calmette-Guérin.

Int Cancer Conf J 2021 Jan 30;10(1):59-62. Epub 2020 Sep 30.

Department of Urology, Faculty of Medicine, University of Toyama, 2630 Sugitani, Toyama, 930-0194 Japan.

A 68-year-old man was diagnosed with non-muscle-invasive bladder cancer and underwent transurethral resection of the bladder tumor (TURBT) in June 2014. The pathological diagnosis was urothelial carcinoma (UC), Grade 2, pT1. He was treated with intravesical bacillus Calmette-Guérin (BCG) instillation after TURBT. Read More

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January 2021

Beyond germ cell tumors, unusual testicular and extra-testicular masses and mass-like lesions: MRI and US pictorial review.

Clin Imaging 2021 Jun 14;74:106-122. Epub 2021 Jan 14.

Department of Medical Imaging, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.

Testicular ultrasound (US) studies are nowadays widely performed as being readily available, cost effective with no side effects. Testicular ultrasounds are ordered to help in the diagnosis of various conditions, but more specifically, in cryptorchidism. Other reasons for conducting testicular ultrasonography include testicular pain to confirm presence of epididymitis or orchitis. Read More

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Autoimmune experimental orchitis and chronic glomerulonephritis with end stage renal disease are controlled by Cgnz1 for susceptibility to end organ damage.

Clin Immunol 2021 03 19;224:108675. Epub 2021 Jan 19.

Division of Rheumatology, Center for Immunity, Inflammation and Regenerative Medicine, Charlottesville, VA, USA; Department of Medicine, University of Virginia, Charlottesville, VA, USA; Department of Microbiology, Immunology, and Cancer Biology, University of Virginia, Charlottesville, VA, USA. Electronic address:

Cgnz1 on chromosome 1 mapped into a 1.34 Mb region of chromosome 1 in NZM2328 confers the progression of immune complex (IC)-mediated glomerulonephritis (GN) from acute GN (aGN) to chronic GN (cGN) with severe proteinuria and end stage renal disease in female mice. This genetic locus mediates podocyte susceptibility to IC-mediated damage. Read More

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Characterization of epididymal and testicular histologic lesions and use of immunohistochemistry and PCR on formalin-fixed tissues to detect in male dogs.

J Vet Diagn Invest 2021 Mar 19;33(2):352-356. Epub 2021 Jan 19.

Department of Veterinary Pathobiology, College of Veterinary Medicine & Biomedical Sciences, Texas A&M University, College Station, TX.

In male dogs, frequently causes epididymitis, ultimately resulting in testicular atrophy and infertility. Although predominantly affects the epididymis, the misleading term "orchitis" is still commonly used by clinicians. Of additional concern, diagnosis in dogs remains challenging because of variable sensitivity and specificity of serologic assays and fluctuations in bacteremia levels in infected dogs, reducing the sensitivity of blood culture. Read More

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A case report: Actinobaculum suis infection associated with formation of pyogranuloma, epididymitis and azoospermia in a boar.

BMC Vet Res 2021 Jan 6;17(1). Epub 2021 Jan 6.

Department of Clinical Veterinary Medicine, Clinic for Swine, Vetsuisse Faculty, University of Bern, CH, Bern, Switzerland.

Background: Actinobaculum suis is a bacterium known to cause infections of the urogenital tract of sows. Infection can occur through close contact to boars, who frequently carry the pathogen in their preputial diverticulum but do not become clinically diseased themselves. In the current case, Actinobaculum suis was isolated from pyogranuloma of inflamed epididymis in a boar with poor fertility. Read More

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January 2021

Application of Shear Wave Elastography to Evaluate the Stiffness of Normal Testes and Inflammatory Epididymal Tail Masses.

Ultrasound Q 2020 Dec 28;37(2):161-167. Epub 2020 Dec 28.

Department of Ultrasound, the Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.

Objective: This study aimed to investigate the application value of shear wave elastography in examining normal testes and inflammatory epididymal tail masses.

Methods: We examined 110 healthy male volunteers (with a total of 220 testes) and 25 patients with epididymitis via conventional scrotal ultrasonography and shear wave elastography. The mean (Emean), minimal (Emin), maximal (Emax), and standard deviation (ESD) values of elasticity were acquired. Read More

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December 2020

[Diagnosis and treatment of 12 cases of sexual activity-related hematuria: Experience and literature review].

Zhonghua Nan Ke Xue 2020 Sep;26(9):815-819

Department of Urology, Changhai Hospital, Naval Medical University, Shanghai 200433, China.

Objective: To summarize and analyze the experience in the diagnosis and treatment of sexual activity-related hematuria.

Methods: A retrospective analysis was conducted on 12 cases of sexual activity-related hematuria treated in Changhai Hospital from October 2015 to April 2019. The patients ranged in age between 31 and 59 years, with a disease course of 2 weeks to 25 years, 6 complaining of urethral bleeding at penile erection and another 6 hematuria immediately after ejaculation, including 2 accompanied by hemospermia. Read More

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September 2020