The Role of Ultrasound in Detecting Renal Tract Abnormalities Following a Single Episode of Epididymitis
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In brief
In brief
Retrospective study of 84 boys with first-episode epididymitis found that routine follow-up ultrasound detected renal abnormalities in only 2 cases (4%), questioning the clinical utility of imaging after a single uncomplicated episode. Most cases were diagnosed at scrotal exploration with low rates of positive urine cultures.
Written by the GCMD Library team from the article.
Aim
The aim of the study was to establish the utility of ultrasound scan in detecting renal tract abnormalities following a single episode of epididymitis.
Methods
A single-centre retrospective review of all boys diagnosed with epididymitis between October 2012 and October 2017 including review of follow up imaging and clinical course was completed. Primary outcome was new diagnosis of renal tract abnormality by ultrasound.
Main Results
Eighty-four boys with a first diagnosis of epididymitis were identified. Sixty-four cases (76%) were diagnosed at scrotal exploration, the remaining twenty clinically. Median age was 7.30 years (range 0.08–15.83 years), and five had a positive urine culture at presentation. Forty-eight boys (57%) had a follow-up ultrasound scan (at median 4.57 weeks [range 1–31 weeks]). Only two renal tract abnormalities were identified by ultrasound scan, both in boys aged