[Diagnosis and treatment of acute epididymoorchitis]

From 1963 we treated 330 patients aged from 15 to 85 years admitted to the urological clinic with acute epididymoorchitis of mild (n = 106), moderate (n = 82) and grave severity (n = 152). The diagnosis of purulent forms of epididymitis and epididymoorchitis was made basing on clinical and ultrasonic studies. Aspiration thin-needle puncture of epididymic membrane under ultrasonic control with calculation of leucocyte count was made for detection of purulent-process in 17 patients with epididymitis at the stage of diffuse inflammation. 198 patients with mild and moderate forms of acute epididymoorchitis received complex conservative treatment including laser therapy. 132 patients with severe epididymoorchitis were operated. In epididymoorchitis with total inflammatory-purulent process we made epididymectomy, in local - resection. The testis was removed in total necrosis or purulent lesion of its tissues. For comparison we analysed case histories of 150 patients with epididymoorchitis treated before 1983. Comparison of the treatment results in patients with acute inflammatory diseases of scrotal organs favours early surgical treatment.