Indian Journal of Urology
ORIGINAL ARTICLE
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

Correspondence Address:
Ryan P Smith
P.O. Box 800422 Charlottesville, VA 22901
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.


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