High-frequency ultrasonography for epididymal stasis after vasectomy.
- Author:
Zhi-Xin ZHANG
1
;
Huang LIU
;
Yun-Ge TANG
;
Hui YANG
;
Hou-Bin ZHENG
;
Shu-Qi OU
;
An ZHONG
;
Tang LE
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Epididymis; diagnostic imaging; Genital Diseases, Male; diagnostic imaging; etiology; Humans; Male; Middle Aged; Retrospective Studies; Ultrasonography; methods; Vasectomy; adverse effects
- From: National Journal of Andrology 2013;19(3):232-235
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo explore the clinical application of high-frequency ultrasound in the diagnosis and treatment of epididymal stasis after vasectomy.
METHODSWe retrospectively studied the sonographic characteristics of 23 cases of epididymal stasis treated by vasectomy, which were divided into a mild (n = 5), a moderate (n = 11) and a severe group (n = 7) according to the results of color Doppler flow imaging. We analyzed the significance of high-frequency ultrasonography in the treatment of epididymal stasis after vasectomy.
RESULTSHigh-frequency ultrasonography revealed 14 cases of increased bilateral epididymal volume, 6 cases of left epididymal thickening and 3 cases of right epididymal thickening, mainly the thickening of the epididymal body and tail. After conservative treatment, 18 of the epididymal stasis cases (5 mild, 11 moderate and 2 severe) were improved, and the other 5 severe cases significantly relieved and discharged from hospital following conservative treatment combined with vasectomy reversal.
CONCLUSIONPost-vasectomy epididymal stasis has typical sonographic characteristics, and high-frequency ultrasonography has an extremely important application value in the clinical classification, diagnosis and treatment of the disease.
