Search Our Scientific Publications & Authors

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

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

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

Zhonghua Nan Ke Xue 2020 Feb;26(2):134-138

Department of Urology, He Xian Memorial Hospital Affiliated to Southern Medical University, Guangzhou, Guangdong 511400, China.

Objective: To investigate the efficiency, safety and clinical application value of scrotoscopy in the diagnosis and treatment of testicular and epididymal diseases.

Methods: A total of 39 patients with testicular or epididymal diseases underwent scrotoscopic surgery in our hospital from February 2015 to February 2018. We retrospectively analyzed the clinical data, results of surgery, and postoperative scrotal pain scores, complications and recurrence. Read More

World J Clin Cases 2020 Nov;8(22):5645-5656

Department of General Surgery, Shengjing Hospital of China Medical University, Shenyang 110001, Liaoning Province, China.

Background: A rectoseminal vesicle fistula (RSVF) is a rare complication after anterior or low anterior proctectomy for rectal cancer mainly due to anastomotic leakage (AL). Limited literature documenting this rare complication is available. We report four such cases and review the literature to investigate the etiology, clinical manifestations, and the diagnostic and treatment methods of RSVF in order to provide greater insight into this disorder. Read More

BMJ Case Rep 2020 Nov 18;13(11). Epub 2020 Nov 18.

Radiology, St John's Medical College Hospital, Bangalore, Karnataka, India

J Ultrasound Med 2020 Nov 11. Epub 2020 Nov 11.

Department of Ultrasound Imaging, Wuhan University Renmin Hospital, Wuhan, China.

Objectives: Coronavirus disease 2019 (COVID-19), caused by the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has become a global pandemic, raising widespread public health concerns. Our team treated hospitalized patients with COVID-19 in Wuhan, where the outbreak first began, and we suspected that SARS-CoV-2 may cause testicular infection in male patients. We conducted this study to explore that observation. Read More

Clin Nucl Med 2021 Jan;46(1):e47-e48

Nuclear Medicine Department, Pio XI Private Hospital, Rome, Italy.

Seminal vesicles are paired secretory glands located posterior to the bladder in men that produce seminal fluid to maintain sperm. Seminal vesicle reflux into the prostatic ducts may be associated with prostatitis in older patients or may represent a very rare complication of transurethral prostate resection in patients with prostatic cancer. This condition is frequently accidentally diagnosed on excretory urography and/or retrograde urethrogram. Read More

Urol Case Rep 2020 Nov 27;33:101361. Epub 2020 Jul 27.

Department of Urology, UCSD Comprehensive Kidney Stone Center, UC San Diego Health, 200 West Arbor Drive #8897, San Diego, CA, 92103-7896, USA.

Acute epididymo-orchitis is an inflammatory process caused by bacterial infection. Emphysematous epididymitis is an extremely rare manifestation characterized by gas within the epididymal tissues. We report a case of emphysematous epididymitis following hydrocelectomy in a patient with a history of spinal cord injury and chronic bacteriuria. Read More

Urol Case Rep 2020 Nov 29;33:101360. Epub 2020 Jul 29.

University of Central Florida College of Medicine, 6850 Lake Nona Blvd, Orlando, FL, 32827, USA.

The differential diagnosis of scrotal pain and swelling in adolescent males includes testicular and appendage torsion, epididymitis, epididymo-orchitis, trauma and incarcerated hernia. Physical examination, ultrasound and urinalysis often can identify the etiology of the scrotal pain and swelling. We present a case of left scrotal pain and swelling that was initially concerning for a paratesticular mass. Read More

Am J Emerg Med 2021 Apr 27;42:260.e3-260.e5. Epub 2020 Aug 27.

Department of Emergency Medicine, San Antonio Uniformed Services Health Education Consortium, 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234, United States.

During the development of the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV2), a myriad of complications has emerged and although rare, several genitourinary complications have been reported. The bulk of these complications have been secondary to hypercoagulable states, such as priapism. Previous SARS family infections have caused orchitis, though no adult cases of orchitis have been reported. Read More

Int Braz J Urol 2020 Nov-Dec;46(6):972-981

Disciplina de Urologia, Departamento de Cirurgia, Faculdade de Ciências Médicas, Universidade Estadual de Campinas - UNICAMP, Campinas, SP, Brasil.

Purpose: To estimate statewide presentation delay, misdiagnosis rate, inter-hospital transfer times and testicular salvage for testicular torsion patients treated in our state's public health system.

Patients And Methods: Case series of consecutive testicular torsion patients treated in our state's public health system between 2012-2018. Predictors included presentation delay (time from symptoms to first medical assessment), facilitie's level-of-care (primary, secondary, tertiary), first diagnosis (torsion, epididymitis, other), Doppler-enhanced ultrasound request (Doppler-US) and inter-hospital transfer times, with surgical organ salvage as the main response. Read More

BMC Urol 2020 Aug 4;20(1):115. Epub 2020 Aug 4.

Department of Urology, Regional hospital St. Franciskus, Heusden-Zolder, Belgium.

Background: Scrotal pain is a common complaint in the clinical practice, with many underlying causes. Infectious causes, like epididymitis, are frequently encountered in the work-up of scrotal pain. The presentation of epididymitis is mostly mild, yet major complications can occur. Read More

Brain Dev 2021 Jan 29;43(1):157-159. Epub 2020 Jul 29.

Department of Pediatrics, Nikko Memorial Hospital, Japan.

Background: Leigh syndrome (LS) is a mitochondrial disorder that shows abnormal basal ganglia lesion and psychomotor regression. Although vitamins have been used for LS, we have not found any effective drug.

Case Presentation: A 26-year-old man who showed psychomotor delay and short stature at the age of 1 year was diagnosed with LS according to the results of cerebrospinal fluid and high signal intensity in the bilateral striatum on T2-weighted magnetic resonance imaging. Read More

Emerg Radiol 2021 Feb 27;28(1):31-36. Epub 2020 Jun 27.

Department of Radiology and Biomedical Imaging, University of California San Francisco and Zuckerberg San Francisco General Hospital, 1001 Potrero Ave. Building 5, 1X57, San Francisco, CA, 94110, USA.

Purpose: To evaluate the prevalence of epididymal injuries with scrotal trauma, review imaging appearance, clinical management, and outcomes.

Methods: In this retrospective study, the radiology report database was queried for scrotal ultrasounds containing keywords pertaining to trauma, from 1998 to 2019. Exams with no clinically documented trauma, exams with trauma > 1 year ago, and duplicate exams were excluded. Read More

J Xray Sci Technol 2020 ;28(4):809-819

Department of Urology and Institute for Regenerative Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, USA.

Introduction: Testicular infarction is a rare complication of prolonged epididymitis and may be misdiagnosed as testicular torsion. In this study, we present three cases of testicular infarction and discuss their clinical characteristics, imaging features and clinical management.

Patients And Methods: Three adult males with prolonged epididymitis presented with chronic unilateral testicular pain, tenderness, and palpable swelling, including left varicocele in one case and hydrocele in the other two cases. Read More

Pediatr Infect Dis J 2020 08;39(8):e200-e202

Pediatrics General Practioner, Forte Dei Marmi (LU), Italy.

Coronavirus disease 2019 (COVID-19) symptoms in children are incompletely described. We present the first case of orchiepididymitis associated with COVID-19 in a boy and discuss pathways of testicular involvement by SARS-CoV2 virus. This case underlines the need for further study of the clinical presentation of pediatric COVID-19 and the potential association with nonrespiratory symptoms. Read More

Rev Inst Med Trop Sao Paulo 2020 11;62:e24. Epub 2020 May 11.

Hospital Universitario "Dr. Jose Eleuterio Gonzalez", Facultad de Medicina, Universidad Autonoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico.

Coccidioidomycosis is an endemic disease of arid regions in the Western hemisphere. Its clinical presentation varies from asymptomatic nodules on chest x-rays to disseminated disease. We present the case of a 48-year-old man with a hard and heterogeneous tumor in the posterior aspect of the right testis. Read More

BMC Urol 2020 Mar 23;20(1):34. Epub 2020 Mar 23.

Department of Urology, Institute of Urology, West China Hospital, Sichuan University, 37, Guo Xue Road, Chengdu, 610041, Sichuan Province, China.

Background: Persistent or recurrent haemospermia often occurs in individuals with ejaculatory duct obstruction (EDO). This study aimed to evaluate the efficacy and safety of transurethral resection of the ejaculatory duct (TURED) combined with seminal vesiculoscopy in treating persistent or recurrent haemospermia in men with EDO.

Methods: From June 2014 to March 2018, 103 consecutive patients with EDO who underwent TURED combined with seminal vesiculoscopy for persistent or recurrent haemospermia at the Department of Urology of West China Hospital were enrolled into this retrospective study. Read More

Br J Radiol 2020 Jun 23;93(1110):20200063. Epub 2020 Apr 23.

Department of Radiology, King's College Hospital, London. Denmark Hill, London SE5 9RS U.K, United Kingdom.

Multiparametric ultrasound (MPUS), combining conventional techniques (greyscale and colour Doppler ultrasound), ultrasound strain elastography, and contrast-enhanced ultrasound (CEUS), has been successfully used in the assessment of adult scrotal pathology. Contrast-enhanced ultrasound can confidently establish testicular tissue vascularity even in the small-volume paediatric testis. Elastography provides further assessment of tissue stiffness, potentially adding useful diagnostic information. Read More

Radiol Case Rep 2020 Apr 19;15(4):437-441. Epub 2020 Feb 19.

Central Radiology Institute, Kepler University Hospital, Medical Faculty of the Johannes Kepler University, Krankenhausstrasse 9, Linz, Austria.

A triad of seminal vesical cyst, ipsilateral renal agenesis and ipsilateral ejaculatory duct obstruction is known as Zinner Syndrome. First described in 1914, only about 200 cases have been reported in literature. Usually it stays undiagnosed until the second to third decade of life due to lack of symptoms or nonspecific symptoms such as lower urinary tract symptoms, dysuria or painful ejaculation. Read More

Radiographics 2020 Mar-Apr;40(2):529-530

From the Department of Radiology, Mayo Clinic, 4500 San Pablo Rd, Jacksonville, FL 32224.

Urologe A 2020 Mar;59(3):266-270

Klinik für Kinderurologie in Kooperation mit der Universität Regensburg, KUNO-Klinik St. Hedwig, Steinmetzstraße 1-3, 93049, Regensburg, Deutschland.

Considering that Quist et al. first described the acute idiopathic scrotal edema (AISE) already in 1956, there are not many studies published in literature concerning the etiology, the development, and the progress of the disease since then. According to the literature the incidence of AISE is about 20%. Read More

BMJ Case Rep 2020 Feb 5;13(2). Epub 2020 Feb 5.

Urology, University of Iowa Roy J and Lucille A Carver College of Medicine, Iowa City, Iowa, USA

A 53-year-old man with a history of colon adenocarcinoma and remote scrotal trauma resulting in a palpable nodule. Gradual increase in the size of this lesion over the year prior to his presentation to our clinic prompted scrotal ultrasound that demonstrated a 1.1 cm solid lesion, which appeared to arise from the right epididymal tail. Read More

J Ultrasound Med 2020 Jun 16;39(6):1047-1056. Epub 2019 Dec 16.

Department of Radiology, Ludwig-Maximilians-University Munich, Grosshadern Campus, Munich, Germany.

The scrotum may be affected by a plethora of different disorders such as infections, vasculopathies, trauma, and manifestations of primary and secondary malignant masses. In addition to the patient's medical history and clinical examination, ultrasound represents the imaging modality of choice to assess scrotal disorders. Time-consuming contrast-enhanced ultrasound and elastography can provide further information to distinguish between benign and malignant testicular mass lesions. Read More

Abdom Radiol (NY) 2020 07;45(7):2063-2081

Section of Abdominal Imaging, Imaging Institute, Cleveland Clinic, 9500 Euclid Ave, Cleveland, OH, 44195, USA.

Imaging of the scrotum in the setting of acute symptoms such as pain or swelling is commonly performed emergently to differentiate between patients who require immediate surgery and those that do not. Acute scrotal symptoms are generally caused by infectious, traumatic or vascular etiologies. Rapid diagnosis and initiation of treatment is vital for testicular salvage in cases of acute testicular torsion, testicular rupture, and Fournier gangrene. Read More

Diagn Cytopathol 2020 Feb 7;48(2):118-127. Epub 2019 Nov 7.

Department of Pathology, Sonoscan Healthcare, Malda, West Bengal, India.

Background: Fine needle aspiration cytology (FNAC) assisted with scrotal ultrasonography is the best preoperative diagnostic modality for palpable epididymal nodules. It also aids in their successive remedial approach as well as serves semi-therapeutically in cystic lesions. The objectives of this study are to recognize the spectrum of pathological conditions giving rise to epididymal nodules, then to compare them with corresponding ultrasound images, and to evaluate the histological features wherever practicable. Read More

Mil Med 2020 06;185(5-6):e900-e903

Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708.

Testicular pain has a wide differential and the nonspecific presentation should be triaged rapidly for urgent diagnosis and treatment. Scrotal pyoceles are uncommon collections of purulent fluid between the visceral and parietal tunica vaginalis, usually secondary to acute epididymo-orchitis, intra-abdominal infection, or trauma. Epididymitis and epididymo-orchitis are generally secondary to sexually transmitted infections or urinary tract pathogens. Read More

Br J Hosp Med (Lond) 2019 Oct;80(10):616-617

Consultant Urologist, Nepean Urology Research Group, Department of Urology, Nepean Hospital, Sydney, New South Wales, Australia.

Nucl Med Rev Cent East Eur 2019 ;22(2):94-95

Pain Research Center Imam Khomeini Hospital Ahvaz Jundishapur University Of Medical Science, Ahvaz, Iran.

We reported a case of 2-year-old child where epididymo-orchitis was misdiagnosed as testicular torsion on scrotal scintigraphy. The scan showed that left hemiscrotum demonstrated a rim of increased activity with a photopenic center in the left testis (halo sign). At surgery, epididymo-orchitis was detected and there was no testicular torsion. Read More