Author/Authors :
Lai, Yongqing Peking University - Shenzhen Hospital, Shenzhen PKU-HKUST Medical Center, Institute of Urology - Department of Urology, Key Laboratory of Stem Cell Biology, Guangdong Shenzhen Key Laboratory of Male Reproductive Medicine Genetics, China , Yu, Zuhu Peking University - Shenzhen Hospital, Institute of Urology, Shenzhen PKU-HKUST Medical Center - Department of Urology, Key Laboratory of Stem Cell Biology, Guangdong Shenzhen Key Laboratory of Male Reproductive Medicine Genetics, China , Shi, Bentao Peking University - Shenzhen Hospital, Institute of Urology, Shenzhen PKU-HKUST Medical Center - Department of Urology, Key Laboratory of Stem Cell Biology, Guangdong Shenzhen Key Laboratory of Male Reproductive Medicine Genetics, China , Ni, Liangchao Peking University - Shenzhen Hospital, Institute of Urology, Shenzhen PKU-HKUST Medical Center - Department of Urology, Key Laboratory of Stem Cell Biology, Guangdong Shenzhen Key Laboratory of Male Reproductive Medicine Genetics, China , Liu, Yunchu Peking University - Shenzhen Hospital - Department of Urology, China , Yang, Shangqi Peking University - Shenzhen Hospital, Institute of Urology, Shenzhen PKU-HKUST Medical Center - Department of Urology, Key Laboratory of Stem Cell Biology, Guangdong Shenzhen Key Laboratory of Male Reproductive Medicine Genetics, China
Abstract :
Objectives: Patients with idiopathic chronic scrotal pain are challenging to both the general practioner and urologist. In this study, we tried to recognize mild epididymitis as an underrecogniczed cause of idiopathic chronic scrotal pain. Methods: We described a consecutive series of 44 patients with idiopathic chronic scrotal pain characterized by mild scrotal pain, mild to moderate tenderness of epididymis without abnormal swelling of epididymis. We obtained a detailed history and physical examination along with routine urinalysis and Doppler ultrasound to identify the characteristics of this new clinical entity. Results: A consecutive series of 44 patients who were primarily diagnosed as “idiopathic chronic scrotal pain” came to our hospital. All had the sign of mild to moderate tenderness on the affected epididymis without epididymis enlargement. Doppler ultrasound showed the affected epididymis with normal size and no abnormal change. We treated them with antibiotics orally along with cessation of strenuous activity and all fully recovered from scrotal pain. Conclusion: In this study, we recognized mild epididymitis as an underrecogniczed cause of idiopathic chronic scrotal pain. It was characterized by mild scrotal pain, mild to moderate tenderness of epididymis without abnormal enlargement of epididymis.
Keywords :
Chronic scrotal pain , Idiopathic , Mild Epididymitis , Underrecogniczed cause
