Year : 2013 | Volume
: 29 | Issue : 1 | Page : 22--26
The impact of color Doppler ultrasound on treatment patterns of epididymitis in a university-based healthcare system
Ryan P Smith1, Chad R Tracy2, Parviz K Kavoussi1, Matthew T Witmer1, Raymond A Costabile1
1 Department of Urology, University of Virginia Health System, Charlottesville, VA, USA
2 Department of Urology University of Iowa Healthcare System, Iowa City, IA, USA
Introduction and Objectives: Evaluate the impact of scrotal color Doppler ultrasound (CDUS) on epididymitis treatment patterns in a university-based institution.
Materials and Methods: 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.
Results: 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).
Conclusions: 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.
Ryan P Smith
P.O. Box 800422 Charlottesville, VA 22901
|How to cite this article:|
Smith RP, Tracy CR, Kavoussi PK, Witmer MT, Costabile RA. The impact of color Doppler ultrasound on treatment patterns of epididymitis in a university-based healthcare system.Indian J Urol 2013;29:22-26
|How to cite this URL:|
Smith RP, Tracy CR, Kavoussi PK, Witmer MT, Costabile RA. The impact of color Doppler ultrasound on treatment patterns of epididymitis in a university-based healthcare system. Indian J Urol [serial online] 2013 [cited 2020 Apr 7 ];29:22-26
Available from: http://www.indianjurol.com/article.asp?issn=0970-1591;year=2013;volume=29;issue=1;spage=22;epage=26;aulast=Smith;type=0