Urological Impact of Epididymo-orchitis in Patients with Anorectal Malformation: An ARM-Net Consortium Study

Topic overview

Multi-center study of 29 ARM patients with epididymo-orchitis found 90% had rectourinary fistulas and 69% experienced recurrent episodes. Most cases showed positive urine cultures and associated urological anomalies including VUR, urethral abnormalities, and neurogenic bladder, highlighting the need for comprehensive urologic evaluation in ARM patients.

Key takeaways

90% of ARM patients with epididymo-orchitis had rectourinary fistulas; median age at first episode was 2 years.
69% experienced recurrent epididymo-orchitis, with 60% of recurrences ipsilateral; 69% had positive urine cultures during episodes.
Associated urological anomalies are common: VUR (48%), urethral anomalies (41%), neurogenic bladder (41%), ectopic vas (10%).
Most cases managed with antibiotics (90%); surgical exploration limited to 14%; prevention includes bulking agents, vasectomy, or prophylaxis.
Comprehensive urologic work-up essential in ARM patients to identify and treat underlying risk factors for epididymo-orchitis.

Keywords

Anorectal Malformation Epididymo-orchitis Rectourinary Fistula Pediatric Urology Vesicoureteral Reflux Urinary Tract Infection Arm-net Consortium

Hashtags

#PediatricUrology #AnorectalMalformation #Epididymoorchitis #ARMNet

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