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Postoperative epididymitis after bladder surgery without vasectomy

E Rosdy, L Joós, P Laczkó

    International Urology and Nephrology
    |January 1, 1982
    PubMed
    Summary
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    Postoperative epididymitis risk varies by bladder operation type. Diabetes, prior epididymitis, and specific pre-operative conditions increase risk, with distinct pathogens identified.

    Area of Science:

    • Urology
    • Surgical Outcomes

    Background:

    • Postoperative epididymitis is a potential complication following bladder operations.
    • Understanding risk factors and causative agents is crucial for prevention and management.

    Purpose of the Study:

    • To investigate the incidence of postoperative epididymitis after different bladder operations.
    • To identify patient-specific and pathogen-related risk factors for epididymitis.

    Main Methods:

    • Retrospective analysis of 362 cases undergoing bladder operations without prior vasectomy.
    • Data collection on operation type, patient history, pre-operative conditions, and identified pathogens.

    Main Results:

    • Incidence of epididymitis: 15.4% (transvesical prostatectomy), 3.5% (suprapubic section), 1.6% (transurethral prostatectomy).

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  • Higher incidence observed in patients with diabetes, prior bilateral epididymitis, no prior catheterization, >90ml residual urine, and pre-operative absence of pyuria.
  • Common pathogens included coagulase-negative staphylococci, Pseudomonas aeruginosa, and Enterobacter; E. coli, Proteus, and Pseudomonas involvement indicated highly resistant strains.

    • Conclusions:

    • Surgical approach significantly impacts epididymitis risk.
    • Specific patient comorbidities and pre-operative urinary status are critical risk indicators.
    • Knowledge of prevalent pathogens aids in targeted antimicrobial therapy.