Journal article
The impact of color Doppler ultrasound on treatment patterns of epididymitis in a university-based healthcare system
Indian journal of urology, Vol.29(1), pp.22-26
01/2013
DOI: 10.4103/0970-1591.109979
PMCID: PMC3649595
PMID: 23671360
Abstract
Evaluate the impact of scrotal color Doppler ultrasound (CDUS) on epididymitis treatment patterns in a university-based institution.
From 1 January 1999 to 30 July 2005, 870 patients from a single institution were diagnosed with epididymitis. A total of 480 men met the inclusion criteria for acute epididymitis. Scrotal ultrasound was included as a part of the diagnostic evaluation in 42.7% of men. Ultrasound reports were available for review in 187 cases. Information regarding patient demographics, diagnostic evaluation, and treatment was reviewed.
Ultrasound findings consistent with epididymitis were identified in 69.3% of men. The four most commonly reported irregularities were scrotal wall thickening (84.2%), abnormal epididymal echotexture (74%), increased epididymal vascularity (72.9%), and an enlarged epididymis (71.5%). Scrotal ultrasound was performed in 67% men under age 20 compared to 36% men between ages 30 and 69. Patients presenting to the Emergency Department underwent sonographic evaluation 57% of the time versus 17.2% men presenting to primary care physicians (P < 0.001). Ninety-five per cent (194/204) of patients who underwent CDUS were treated with antibiotics compared to 96% (263/275) of those who did not receive an ultrasound (P = 0.78).
CDUS can be helpful in patients with a potential diagnosis of testicular torsion, however, the use of CDUS as a diagnostic adjunct in the evaluation of epididymitis is of limited value. Treatment patterns and antibiotic usage were not significantly altered by ultrasound findings at this institution.
Details
- Title: Subtitle
- The impact of color Doppler ultrasound on treatment patterns of epididymitis in a university-based healthcare system
- Creators
- Ryan P Smith - Department of Urology, University of Virginia Health System, Charlottesville, VA, USAChad R TracyParviz K KavoussiMatthew T WitmerRaymond A Costabile
- Resource Type
- Journal article
- Publication Details
- Indian journal of urology, Vol.29(1), pp.22-26
- DOI
- 10.4103/0970-1591.109979
- PMID
- 23671360
- PMCID
- PMC3649595
- NLM abbreviation
- Indian J Urol
- ISSN
- 0970-1591
- eISSN
- 1998-3824
- Publisher
- India
- Language
- English
- Date published
- 01/2013
- Academic Unit
- Radiology; Urology
- Record Identifier
- 9984051784002771
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