A clinical study was made on 57 patients (61 cases)of intrascrotal mass in the Department of Urology, Han Il Hospital, during the period from January, 1978 to December, 1981. The results were follows: 1. The incidence of intrascrotal mass was 11.5% of total admitted patients. 2. The most common population was 20-29 year of age giving the rate of 36.4% (18 patients). 3. 29 patients were affected in the right side, 24 patients in the left and 4 patients in both. 4. 39 cases were painless intrascrotal mass and 22 cases were painful. 5. The most common disease was hydrocele giving the rate of 45.9% (28 cases). Acute epididymitis was 23.0% (14 cases), tuberculous epididymitis 9.8% (6 cases), varicocele 6.6% (4 cases), others 14.7% (9 cases). 6. Of 61 cases, operation was performed in 43 cases and conservative management in 18 cases.
Epididymitis ; Humans ; Incidence ; Male ; Urology ; Varicocele

The renal agenesis and ectopic ureter were relatively rare congenital disease, but their combined form was more extremely rare condition. We report a case of ectopic ureteral opening associated with ipsilateral renal agenesisthat noted recurrent epididymitis in 18 month old children with review of literatures.
Child ; Epididymitis ; Humans ; Infant ; Male ; Ureter*

No abstract available.
Animals ; Epididymitis* ; Male ; Models, Animal* ; Rats* ; Testis*

The congenital unilateral agenesis is defined as the complete absence of one kidney due to the fact that the ureteral bud fails to develop or, if it does develop, does not reach the metanephros. It is usually found by accident on urography. We have experienced 2 cases of congenital unilateral renal agenesis accompanied by tuberculous epididymitis, proved by radiologically and surgically and report with brief review of the literatures.
Epididymitis ; Kidney ; Male ; Tuberculosis* ; Ureter ; Urography

Xanthogranulomatous epididymitis is an extremely rare disease. Its etiology is unclear, but it is characterized by chronic suppurative granulomatous inflammation. We report on a 53-year-old diabetic man who suffered from left scrotal swelling and pain. Because the condition did not improve with the use of antibiotic therapy, left orchiectomy was performed. Pathological examination revealed a xanthogranulomatous epididymitis.
Epididymitis* ; Humans ; Inflammation ; Male ; Middle Aged ; Orchiectomy ; Pyelonephritis ; Rare Diseases

Xanthogranulomatous epididymitis is extremely uncommon inflammatory disease of the epididymis that may result in massive destruction of the organ. It's clinical manifestation mimics epididymal tumor or abscess, which does not allow easy discrimination between theses diseases. We report here on a case of xanthogranulomatous epididymitis in a 69 years old man that, did not respond to antibiotic therapy.
Abscess ; Aged ; Discrimination (Psychology) ; Epididymis ; Epididymitis* ; Humans ; Male

Diagnostic ultrasound was a simple, rapid, harmless, and painless method to visualize ultrascrotal contents, it provided information that was difficult to obtain on clinical examination. We recently tested the effectiveness of diagnostic ultrasound in 41 men with scrotal masses. In general, ultrasound was highly effective in differentiating and characterizing testicular and extratesticular masses. The following results were obtained. 1. The ultrasonic examination revealed 37 extratesticular lesions, 3 testicular lesions and 1 indeterminate lesion. Of the extratesticular lesions 22 were believed to be cystic but represented 18 hydroceles and 4 spermatoceles. 15 lesions were thought to be solid that represented epididymitis. 2. The accuracy rate the scrotal ultrasound, given a complete clinical history, was 97% in this series. 3. The tumor showed decreased echogenicity within the testicle, which was enlarged. The characteristic appearance of hydrocele, spermatocele were sonolucent cystic mass. The epididymis was enlarged in 11 patients with epididymitis, the echogenicity within testicle was decreased in 5 patients with epididymitis.
Epididymis ; Epididymitis ; Humans ; Male ; Spermatocele ; Testis ; Ultrasonics ; Ultrasonography

Cysts ; Epididymitis ; Humans ; Male ; Orchitis ; Urinary Tract Infections

Among causes of acute scrotum, epididymitis and testicular torsion are most common causes. There is difficulty in differential diagnosis of testicular torsion and acute epididymitis because of their similarities in clinical features. Recently, the radioisotope testicular scanning in imaging procedures has been introduced as that is simple, rapid and a high accuracy. So, 28 cases with scrotal swelling and pain were studied by means of testicular scanning in the Department of Urology, Kyung Hee University Hospital during the period from February, 1981 to September, 1983. The following results were obtained: 1. 2 cases those were diagnosed as testicular torsion clinically showed typical findings of torsion on scanning. They were confirmed as torsion by operation. 2. 16 cases were diagnosed as acute epididymitis clinically. 13 of them gave the scan findings compatible with epididymitis and all cases were well improved with antibiotic therapy. Remaining 3 cases showed findings of torsion and were confirmed surgically. 3. 8 cases were diagnosed as testicular injury clinically. In 5 cases scan showed findings of trauma and were also confirmed by operation. In the other 3 cases. scan showed findings of epididymitis and all of them were improved with antibiotic therapy. As above results testicular scan is easily available and accurate diagnostic method in the evaluation of patient with acute scrotal disorders.
Diagnosis, Differential ; Epididymitis ; Humans ; Male ; Scrotum ; Spermatic Cord Torsion ; Urology

Chronic scrotal content pain remains one of the more challenging urological problems to manage. This is a frustrating disorder to diagnose and effectively treat for both the patient and clinician, as no universally accepted treatment guidelines exist. Many patients with this condition end up seeing physicians across many disciplines, further frustrating them. The pathogenesis is not clearly understood, and the treatment ultimately depends on the etiology of the problem. This article reviews the current understanding of chronic scrotal content pain, focusing on the diagnostic work-up and treatment options.
Chronic Pain ; Epididymis ; Epididymitis ; Humans ; Male ; Pelvic Pain ; Vasovasostomy