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[Acute epididymitis in children]
E Granados1, P Caicedo, J M Garat
1Unidad de Urología Pediátrica, Servicio de Urología, Fundación Puigvert, Barcelona, España.
Insights
This study reviewed 18 boys with epididymitis. Early surgical exploration within 6 hours is recommended for scrotal pain if imaging is unavailable.
Area of Science:
- Pediatric Surgery
- Urology
- Adolescent Medicine
Context:
- Epididymitis presents diagnostic challenges in pediatric patients.
- Distinguishing epididymitis from testicular torsion is critical.
Purpose:
- To report clinical experience with pediatric epididymitis.
- To evaluate diagnostic and treatment strategies.
Summary:
- The study included 18 boys aged 3-16 years with epididymitis.
- Diagnosis involved surgical exploration in younger boys (<10 years) and clinical/ultrasound findings in older boys (>11 years).
- All patients received conservative management including analgesics, ice, scrotal support, and antibiotics.
Impact:
- Highlights the importance of timely diagnosis and intervention in pediatric scrotal pain.
- Suggests surgical exploration as a timely diagnostic tool when imaging is not readily available.
Abstract:
The present study reports our experience with epididymitis in 18 boys aged 3-16 years. The diagnosis was made at surgical exploration in 12 patients under 10 years. In the remaining 6 patients over 11 years, the diagnosis was made on the clinical and scrotal ultrasound findings. All patients were treated with analgesics, ice bags, scrotal support and antibiotics. Children that consult for scrotal pain should undergo surgical exploration within 6 hours from the onset of pain if imaging by echo Doppler or technetium pernectate is unavailable.