European J Pediatr Surg Rep. 2013; 01(01): 056-059
DOI: 10.1055/s-0033-1343076
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Steroid Treatment for Recurrent Epididymitis Secondary to Idiopathic Urethritis and Urethrovasal Reflux

G. K. Ninan
1   Department of Paediatric Urology, Children's Hospital, University Hospitals of Leicester NHS Trust, Leicester Royal Infirmary, Infirmary Square, Leicester, United Kingdom
,
Preethi Bhishma
1   Department of Paediatric Urology, Children's Hospital, University Hospitals of Leicester NHS Trust, Leicester Royal Infirmary, Infirmary Square, Leicester, United Kingdom
,
Ramnik Patel
1   Department of Paediatric Urology, Children's Hospital, University Hospitals of Leicester NHS Trust, Leicester Royal Infirmary, Infirmary Square, Leicester, United Kingdom
› Author Affiliations
Further Information

Publication History

25 October 2012

12 February 2013

Publication Date:
20 April 2013 (online)

Abstract

We describe a case of recurrent left-sided epididymitis secondary to severe idiopathic posterior urethritis extending to left seminal vesicle and vas deference with associated urethrovasal reflux (UVR). Cystourethroscopy and micturating cystourethrogram were essential for the diagnosis. Following cystourethroscopy, intravesical, and urethral instillation of topical steroid triamcinolone, patient had a full recovery. Idiopathic urethritis in association with veru montentitis, utriculitis leading to left-sided UVR, inflammation of the seminal vesicle, and vas deference causing secondary epididymitis is rare. We report the first such rare case presenting as recurrent acute scrotum and response to innovative treatment we used.

 
  • References

  • 1 Harrison SC, Whitaker RH. Idiopathic urethritis in male children. Br J Urol 1987; 59 (3) 258-260
  • 2 Williams DI, Mikhael BR. Urethritis in male children. Proc R Soc Med 1971; 64 (2) 133-134
  • 3 Dewan PA, Wilson TM. Idiopathic urethritis in the adolescent male. Eur Urol 1996; 30 (4) 494-497
  • 4 Eradi B, Ninan GK. Intravesical steroid instillation—a novel therapeutic intervention for idiopathic urethritis of childhood. Eur J Pediatr Surg 2009; 19 (2) 105-107
  • 5 Jayakumar S, Antao B, Bevington O, Furness P, Ninan GK. Balanitis xerotica obliterans in children and its incidence under the age of 5 years. J Pediatr Urol 2012; 8 (3) 272-275
  • 6 Hübler J, Fariborz B, Fábos Z. An unusual complication of transurethral resection: reflux into the vas deferens, seminal vesicles and epididymis. J Urol 1999; 162 (5) 1696
  • 7 Kiviat MD, Shurtleff D, Ansell JS. Urinary reflux via the vas deferens: unusual cause of epididymitis in infancy. J Pediatr 1972; 80 (3) 476-479
  • 8 Lima M, Ruggeri G, Grandi M, Dòmini M, Sciutti R, Tani G. [Urethro-vesical-vas deferens reflux as a cause of acute scrotum]. Pediatr Med Chir 1992; 14 (3) 323-326
  • 9 Henriet R. [Scrotal urinary fistula due to urethro-vas deferens reflux]. J Urol Nephrol (Paris) 1976; 82 (6) 523-524
  • 10 Siegel A, Snyder H, Duckett JW. Epididymitis in infants and boys: underlying urogenital anomalies and efficacy of imaging modalities. J Urol 1987; 138 (4, Pt 2) 1100-1103
  • 11 Wiersma R. Urethro-ejaculatory duct reflux in children: an updated review. Eur J Pediatr Surg 2009; 19 (6) 374-376
  • 12 Vincent MV, Mackinnon E. The response of clinical balanitis xerotica obliterans to the application of topical steroid-based creams. J Pediatr Surg 2005; 40 (4) 709-712
  • 13 Wilkinson DJ, Lansdale N, Everitt LH , et al. Foreskin preputioplasty and intralesional triamcinolone: a valid alternative to circumcision for balanitis xerotica obliterans. J Pediatr Surg 2012; 47 (4) 756-759