Difference of acute epididymorchitis with with acute torsion of the testes?
More gradual onset
History of urethral manipulation
Recent urinary tract surgery (hypospadias, ureteral reimplantation);
IImperforate anus; or known lower tract genitourinary anatomic abnormalities (ureteralor vasal ectopia, bladder exstrophy)
USG doppler finding of Epididymorchitis?
Enlarged epididymis of mixed echogenicity surrounded by reactive fluid
Increased testicular flow, except when there is such extensive swelling that ischemia may occur
Causative organism for Epididymorchitis?
Prepurbertal male - gram-negative organisms (“nonspecific epididymitis,”)
Postpubertal sexually active boys - (N. gonorrhea, Chlamydia trachomatis)
Management of epididymorchitis?
Treatment of presumptive causative organism
During or after treatment of the acute bacterial urinary and epididymal infections, radiologic evaluation of the urinary tract should be performed as with any UTI.