The role of ultrasound in detecting renal tract abnormalities following a single episode of epididymitis
•It is unclear whether ultrasound scan follow-up to identify renal tract abnormalities is necessary following a first episode of epididymitis in children.•Our study shows that ultrasound scan following an episode of epididymitis is unnecessary, unless aged
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| Veröffentlicht in: | Journal of pediatric surgery 2022-02, Vol.57 (2), p.275-277 |
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| container_title | Journal of pediatric surgery |
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| creator | Hassell, Jack Kitteringham, Lara Hall, Nigel J |
| description | •It is unclear whether ultrasound scan follow-up to identify renal tract abnormalities is necessary following a first episode of epididymitis in children.•Our study shows that ultrasound scan following an episode of epididymitis is unnecessary, unless aged |
| doi_str_mv | 10.1016/j.jpedsurg.2021.10.031 |
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The aim of the study was to establish the utility of ultrasound scan in detecting renal tract abnormalities following a single episode of epididymitis.
A single-centre retrospective review of all boys diagnosed with epididymitis between October 2012 and 2017 including review of follow up imaging and clinical course was completed. Primary outcome was new diagnosis of renal tract abnormality by ultrasound.
Eighty-four boys with a first diagnosis of epididymitis were identified. Sixty-four cases (76%) were diagnosed at scrotal exploration, the remaining twenty clinically. Median age was 7.30 years (range 0.08–15.83 years), and five had a positive urine culture at presentation. Forty-eight boys (57%) had a follow-up ultrasound scan (at median 4.57 weeks [range 1–31 weeks]). Only two renal tract abnormalities were identified by ultrasound scan, both in boys aged < 6 months, and neither was clinically relevant. Recurrent epididymitis occurred in 4 cases at median 26 days after initial presentation, of whom 3 had been followed up by ultrasound after initial presentation, all of which were normal. Further investigation revealed posterior urethral valves in 1 boy (age 6.5 months at initial presentation).
Following a single episode of epididymitis, ultrasound was not helpful at detecting clinically relevant renal tract abnormalities, and furthermore did not identify the only patient with a clinically relevant abnormality. Based on these data, we propose follow-up imaging only in boys ≤ 6 months of age with a positive urine culture or a recurrent episode with consideration given to micturating cystogram even if ultrasound normal.
IV.</description><identifier>ISSN: 0022-3468</identifier><identifier>EISSN: 1531-5037</identifier><identifier>DOI: 10.1016/j.jpedsurg.2021.10.031</identifier><identifier>PMID: 34823844</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Child ; Child, Preschool ; Epididymitis ; Epididymitis - diagnostic imaging ; Humans ; Infant ; Infant, Newborn ; Male ; Renal tract abnormality ; Retrospective Studies ; Ultrasonography ; Ultrasound ; Urinary Tract ; Urogenital Abnormalities</subject><ispartof>Journal of pediatric surgery, 2022-02, Vol.57 (2), p.275-277</ispartof><rights>2021 Elsevier Inc.</rights><rights>Copyright © 2021 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2781-87bdce21fe42335d82e27f183779256e47e751933d61165c2e450c53eb6ea97f3</cites><orcidid>0000-0001-8570-9374</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022346821007399$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34823844$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hassell, Jack</creatorcontrib><creatorcontrib>Kitteringham, Lara</creatorcontrib><creatorcontrib>Hall, Nigel J</creatorcontrib><title>The role of ultrasound in detecting renal tract abnormalities following a single episode of epididymitis</title><title>Journal of pediatric surgery</title><addtitle>J Pediatr Surg</addtitle><description>•It is unclear whether ultrasound scan follow-up to identify renal tract abnormalities is necessary following a first episode of epididymitis in children.•Our study shows that ultrasound scan following an episode of epididymitis is unnecessary, unless aged < 6 months, or with a positive urine culture, or an episode of recurrence.
The aim of the study was to establish the utility of ultrasound scan in detecting renal tract abnormalities following a single episode of epididymitis.
A single-centre retrospective review of all boys diagnosed with epididymitis between October 2012 and 2017 including review of follow up imaging and clinical course was completed. Primary outcome was new diagnosis of renal tract abnormality by ultrasound.
Eighty-four boys with a first diagnosis of epididymitis were identified. Sixty-four cases (76%) were diagnosed at scrotal exploration, the remaining twenty clinically. Median age was 7.30 years (range 0.08–15.83 years), and five had a positive urine culture at presentation. Forty-eight boys (57%) had a follow-up ultrasound scan (at median 4.57 weeks [range 1–31 weeks]). Only two renal tract abnormalities were identified by ultrasound scan, both in boys aged < 6 months, and neither was clinically relevant. Recurrent epididymitis occurred in 4 cases at median 26 days after initial presentation, of whom 3 had been followed up by ultrasound after initial presentation, all of which were normal. Further investigation revealed posterior urethral valves in 1 boy (age 6.5 months at initial presentation).
Following a single episode of epididymitis, ultrasound was not helpful at detecting clinically relevant renal tract abnormalities, and furthermore did not identify the only patient with a clinically relevant abnormality. Based on these data, we propose follow-up imaging only in boys ≤ 6 months of age with a positive urine culture or a recurrent episode with consideration given to micturating cystogram even if ultrasound normal.
IV.</description><subject>Adolescent</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Epididymitis</subject><subject>Epididymitis - diagnostic imaging</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Renal tract abnormality</subject><subject>Retrospective Studies</subject><subject>Ultrasonography</subject><subject>Ultrasound</subject><subject>Urinary Tract</subject><subject>Urogenital Abnormalities</subject><issn>0022-3468</issn><issn>1531-5037</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMtOwzAQRS0EglL4BeQlmxQ_EjvdgSpeUiU2ZW259gRcOXGxE1D_HodStqzGuj4zozkIXVEyo4SKm81sswWbhvg2Y4TRHM4Ip0doQitOi4pweYwmhDBW8FLUZ-g8pQ0hOSb0FJ3xsma8LssJel-9A47BAw4NHnwfdQpDZ7HrsIUeTO-6Nxyh0x7nP9Njve5CbLV3vYOEm-B9-BoZjVMueQ5sXQr2Z15-Wmd3bWbTBTpptE9w-Vun6PXhfrV4KpYvj8-Lu2VhmKxpUcu1NcBoAyXjvLI1AyYbWnMp56wSUEqQFZ1zbgWlojIMyoqYisNagJ7Lhk_R9X7uNoaPAVKvWpcMeK87CENSTJAyC-RcZFTsURNDShEatY2u1XGnKFGjZbVRB8tqtDzm2XJuvPrdMaxbsH9tB60ZuN0DkC_9dBBVMg46A9bF7FTZ4P7b8Q0lOpJI</recordid><startdate>202202</startdate><enddate>202202</enddate><creator>Hassell, Jack</creator><creator>Kitteringham, Lara</creator><creator>Hall, Nigel J</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8570-9374</orcidid></search><sort><creationdate>202202</creationdate><title>The role of ultrasound in detecting renal tract abnormalities following a single episode of epididymitis</title><author>Hassell, Jack ; Kitteringham, Lara ; Hall, Nigel J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2781-87bdce21fe42335d82e27f183779256e47e751933d61165c2e450c53eb6ea97f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adolescent</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Epididymitis</topic><topic>Epididymitis - diagnostic imaging</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Renal tract abnormality</topic><topic>Retrospective Studies</topic><topic>Ultrasonography</topic><topic>Ultrasound</topic><topic>Urinary Tract</topic><topic>Urogenital Abnormalities</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hassell, Jack</creatorcontrib><creatorcontrib>Kitteringham, Lara</creatorcontrib><creatorcontrib>Hall, Nigel J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hassell, Jack</au><au>Kitteringham, Lara</au><au>Hall, Nigel J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The role of ultrasound in detecting renal tract abnormalities following a single episode of epididymitis</atitle><jtitle>Journal of pediatric surgery</jtitle><addtitle>J Pediatr Surg</addtitle><date>2022-02</date><risdate>2022</risdate><volume>57</volume><issue>2</issue><spage>275</spage><epage>277</epage><pages>275-277</pages><issn>0022-3468</issn><eissn>1531-5037</eissn><abstract>•It is unclear whether ultrasound scan follow-up to identify renal tract abnormalities is necessary following a first episode of epididymitis in children.•Our study shows that ultrasound scan following an episode of epididymitis is unnecessary, unless aged < 6 months, or with a positive urine culture, or an episode of recurrence.
The aim of the study was to establish the utility of ultrasound scan in detecting renal tract abnormalities following a single episode of epididymitis.
A single-centre retrospective review of all boys diagnosed with epididymitis between October 2012 and 2017 including review of follow up imaging and clinical course was completed. Primary outcome was new diagnosis of renal tract abnormality by ultrasound.
Eighty-four boys with a first diagnosis of epididymitis were identified. Sixty-four cases (76%) were diagnosed at scrotal exploration, the remaining twenty clinically. Median age was 7.30 years (range 0.08–15.83 years), and five had a positive urine culture at presentation. Forty-eight boys (57%) had a follow-up ultrasound scan (at median 4.57 weeks [range 1–31 weeks]). Only two renal tract abnormalities were identified by ultrasound scan, both in boys aged < 6 months, and neither was clinically relevant. Recurrent epididymitis occurred in 4 cases at median 26 days after initial presentation, of whom 3 had been followed up by ultrasound after initial presentation, all of which were normal. Further investigation revealed posterior urethral valves in 1 boy (age 6.5 months at initial presentation).
Following a single episode of epididymitis, ultrasound was not helpful at detecting clinically relevant renal tract abnormalities, and furthermore did not identify the only patient with a clinically relevant abnormality. Based on these data, we propose follow-up imaging only in boys ≤ 6 months of age with a positive urine culture or a recurrent episode with consideration given to micturating cystogram even if ultrasound normal.
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| subjects | Adolescent Child Child, Preschool Epididymitis Epididymitis - diagnostic imaging Humans Infant Infant, Newborn Male Renal tract abnormality Retrospective Studies Ultrasonography Ultrasound Urinary Tract Urogenital Abnormalities |
| title | The role of ultrasound in detecting renal tract abnormalities following a single episode of epididymitis |
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