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Assessment of voiding dysfunction in men with acute epididymitis
P Thind1, B Brandt, J K Kristensen
1Department of Urology, Rigshospitalet, University of Copenhagen, Denmark.
Urologia Internationalis
|January 1, 1992
Summary
Acute epididymitis may stem from urethrovesical reflux caused by high pressure during urination. Many patients experience abnormal voiding patterns post-infection, indicating potential underlying urinary tract issues.
Area of Science:
- Urology
- Andrology
- Medical Diagnostics
Background:
- Acute epididymitis is a common condition in men.
- The exact pathophysiology of acute epididymitis is not fully understood.
- Urethrovesical reflux is a proposed contributing factor.
Purpose of the Study:
- To investigate the urodynamic and endoscopic findings in men after acute epididymitis.
- To explore potential causes of abnormal voiding patterns post-epididymitis.
Main Methods:
- Urodynamic and endoscopic examinations were performed on 15 men after symptom resolution.
- Voiding patterns and urethral/bladder neck anatomy were assessed.
Main Results:
- 13 out of 15 patients exhibited abnormal voiding.
- Identified issues included urethral strictures, benign prostatic hyperplasia, bladder neck sclerosis, and detrusor-external sphincter dyssynergia.
- High voiding pressures ( > 50 cm H2O) were observed in some patients.
Conclusions:
- Abnormal voiding is frequent after acute epididymitis.
- Findings support urethrovesical reflux, driven by high hydrostatic pressure, as a potential cause of acute epididymitis.