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Epididymitis in infants with anorectal malformation
Gürsu Kiyan1, Tolga E Dagli, Serdar H Iskit
1Department of Pediatric Surgery, Marmara University School of Medicine, Cocuk Cerrahisi Anabilim Dali, Tophanelioglu Caddesi 13-15, Altunizade, Istanbul, 81190, Turkey. gursukiyan@marmara.edu.tr
European Urology
|April 23, 2003
Summary
Anorectal malformations in boys can cause epididymitis, particularly those with rectourethral fistulas. Urinary tract infections are linked to epididymitis in these patients, highlighting the need for comprehensive urological evaluation.
Area of Science:
- Pediatric Urology
- Surgical Gastroenterology
Background:
- Anorectal malformations (ARM) are congenital conditions requiring surgical correction.
- Epididymitis, inflammation of the epididymis, can occur in pediatric patients.
- The association between ARM and epididymitis requires further characterization.
Purpose of the Study:
- To document the clinical characteristics of epididymitis in boys diagnosed with anorectal malformations.
- To investigate potential causes and associations of epididymitis in this specific patient population.
Main Methods:
- Retrospective review of 66 boys with ARM treated between 1990-2000.
- Analysis of four patients who experienced episodes of epididymitis.
- Correlation of epididymitis occurrence with ARM type, presence of rectourethral fistula, and postoperative outcomes.
Main Results:
- Three of four patients with ARM and rectourethral fistula experienced resolution of epididymitis after definitive surgery.
- One patient with low-type ARM without fistula had recurrent postoperative epididymitis.
- Urinary tract infection or contamination was noted in two patients during epididymitis episodes.
Conclusions:
- Anorectal malformation, especially with a rectourethral fistula, is a potential cause of epididymitis in boys.
- Associated urogenital anomalies may contribute to epididymitis in ARM patients.
- A significant relationship exists between urinary tract infections and epididymitis in this cohort.