RSS-Feed abonnieren
DOI: 10.1055/s-0030-1253356
© Georg Thieme Verlag KG Stuttgart · New York
Urinalysis in Children with Epididymitis
Publikationsverlauf
received October 11, 2009
accepted after revision March 01, 2010
Publikationsdatum:
03. Mai 2010 (online)

Abstract
Background: The aim of this study was to examine the diagnostic and therapeutic yield of urine tests in epididymitis in children. Recently, urine examination in prepubertal epididymitis has been described as having little value for diagnostic or treatment. Yet, although urine cultures are often sterile, in clinical practice prepubertal boys with epididymitis are often treated with antibiotics.
Material and Methods: A retrospective analysis of all boys with 1-episode epididymitis presenting to a single institution over a 5-year-period was performed. Results of laboratory tests (blood, urine) were collected.
Results: We found 151 consecutive patients. In 93 cases (62%), results of urine examinations were available. Only 1 patient (1%) showed bacteriuria in urine sediment, while urine culture in this patient was sterile. Urine cultures were done in 6 of 97 patients treated in hospital (6%), and all cultures were sterile. Surgical exploration was performed in 7 patients (5%); in 6 of them epididymal cultures were taken intraoperatively with negative microbiological results.
Conclusion: In our group of children with epididymitis, almost all urine tests (urinalysis, urine culture) were negative. Epididymitis in prepubertal boys seems to be mostly idiopathic, and positive microbiological findings are rare. Antibiotic treatment in this age group should only be done in cases with positive urine tests.
Key words
epididymitis - children - urinalysis - antibiotic treatment
References
- 1
Bukowski TP, Lewis AG, Reeves D. et al .
Epididymitis in older boys: dysfunctional voiding as an etiology.
J Urol.
1995;
154
762-765
Reference Ris Wihthout Link
- 2
Cappèle O, Liard A, Barret E. et al .
Epididymitis in children: is further investigation necessary after the first episode?.
Eur Urol.
2000;
38
627-630
Reference Ris Wihthout Link
- 3
Gislason T, Noronha RF, Gregory JG.
Acute epididymitis in boys: a 5-year retrospective study.
J Urol.
1980;
124
533-534
Reference Ris Wihthout Link
- 4
Haecker FM, Hauri-Hohl A, von Schweinitz D.
Acute epididymitis in children: a 4-year retrospective study.
Eur J Pediatr Surg.
2005;
15
180-186
Reference Ris Wihthout Link
- 5
Hermansen MC, Chusid MJ, Sty JR.
Bacterial epididymo-orchitis in children and adolescents.
Clin Ped.
1980;
19
812-815
Reference Ris Wihthout Link
- 6
Hutcheson J, Peters CA, Diamond DA.
Amiodarone induced epididymitis in children.
J Urol.
1998;
160
515-517
Reference Ris Wihthout Link
- 7
Kadish HA, Bolte RG.
A retrospective review of pediatric patients with epididymitis, testicular torsion,
and torsion of testicular appendages.
Pediatrics.
1998;
102
73-76
Reference Ris Wihthout Link
- 8
Klin B, Zlotkevich L, Horne T. et al .
Epididymitis in childhood: a clinical retrospective study over 5 years.
Isr Med Assoc J.
2001;
3
833-835
Reference Ris Wihthout Link
- 9
Lau P, Anderson PA, Giacomantonio JM. et al .
Acute epididymitis in boys: are antibiotics indicated?.
Br J Urol.
1997;
79
797-800
Reference Ris Wihthout Link
- 10
Likitnukul S, McCracken GH, Nelson JD. et al .
Epididymitis in children and adolescents.
Am J Dis Child.
1987;
141
41-44
Reference Ris Wihthout Link
- 11
Sakellaris GS, Charissis GC.
Acute epididymitis in Greek children: a 3-year retrospective study.
Eur J Pediatr.
2008;
167
765-769
Reference Ris Wihthout Link
- 12
Siegel A, Snyder H, Duckett JW.
Epididymitis in infants and boys: underlying urogenital anomalies and efficacy of
imaging modalities.
J Urol.
1987;
138
1100-1103
Reference Ris Wihthout Link
- 13
Somekh E, Gorenstein A, Serour F.
Acute epididymitis in boys: evidence of a post-infectious etiology.
J Urol.
2004;
171
391-394
Reference Ris Wihthout Link
- 14
Stehr M, Boehm R.
Critical validation of colour Doppler ultrasound in diagnostics of acute scrotum in
children.
Eur J Pediatr Surg.
2003;
13
386-392
Reference Ris Wihthout Link
- 15
Umeyama T, Kawamura T, Hasegawa A. et al .
Ectopic ureter presenting with epididymitis in childhood: report of 5 cases.
J Urol.
1985;
134
131-133
Reference Ris Wihthout Link
- 16 Waldschmidt J, Hamm B, Schier F. Das akute Skrotum. Epididymitis. Stuttgart: Hippokrates Verlag; 1990: 72-82
Reference Ris Wihthout Link
Correspondence
Dr. med. Lutz Alexander Graumann
Department of Pediatric
Surgery, University Hospital
Philipps University Marburg
Baldingerstr. 1
35043 Marburg
Germany
Telefon: +49 6421 58 66 226
Fax: +49 6421 58 68 956
eMail: graumann@med.uni-marburg.de