1.Mumps orchitis treatment with corticoids
Journal of Medical Research 2004;27(1):89-92
Based on the results of 20 cases with mumps orchitis who were treated with Prednisolon (25-30 mgs per day in 5 days) or Triamcinolon (5-6 mgs per day in 5 days), the author showed that corticoids could either release fever and pain within 24 hours or 48 hours, or reduce the swelling of orches faster in comparison with the other group of patients. Nevertheless, corticoids could not prevent the orches shrinking
Orchitis
;
Mumps
;
Therapeutics
;
Adrenal Cortex Hormones
2.Primary Cryptococcal Epidydimo-orchitis in a Healthy Man.
Hyeong Gon KIM ; Su Min OH ; Won Hee PARK
Korean Journal of Urology 2004;45(6):616-618
Cryptococcus is native to the environment and thrives in any type of environment inhabited by birds. Cryptococcal genito-urinary infection has been reported in immunnocompromised patients and can involve the adrenal gland, kidney, prostate, or penis. To our knowledge, there have been no reports of cases where cryptococcal epididymo-orchitis infects an uncompromised healthy host. Here, we report a case of primary cryptococcal epididymo-orchitis in a healthy male.
Adrenal Glands
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Birds
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Cryptococcus
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Humans
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Kidney
;
Male
;
Orchitis
;
Penis
;
Prostate
4.Mumps outbreak in Incheon, Korea, 2009.
Seon Young CHO ; Soo Young LEE ; Jin Han KANG ; Hui Seung HWANG
Korean Journal of Pediatrics 2010;53(1):67-71
PURPOSE: Recently, we have noticed an increase in the number of patients with mumps in Incheon, Korea. The aim of this study is to estimate the regional trend in mumps incidence and to evaluate the factors related to the recent increase. METHODS: We reviewed the medical records of 66 patients with mumps who had been admitted to Incheon St. Mary's Hospital from July 1999 to June 2009. We compared the differences in records between "outbreak, 2009" and "nonoutbreak, 2000-2008." RESULTS: Of the 66 patients, 35 (53%) were admitted in 2009, and 31 (47%) were admitted between 2000 and 2008. Most of the patients admitted during the outbreak were over 15 years of age (80.0%), were born before 1993 (77.1%), and had received a single dose of mumps vaccine (62.9%). There were no significant differences in contact history, present address, clinical manifestations, and complications, except for orchitis, between the two groups. CONCLUSION: There was a sharp increase in the number of inpatients with mumps who were born before 1993 and who were over 15 years of age. We recommend that a booster vaccination be considered for adolescents and young adults born before 1993 who are susceptible to mumps infection due to their reduced opportunities for receiving two doses of mumps vaccine.
Adolescent
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Humans
;
Incidence
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Inpatients
;
Korea
;
Male
;
Medical Records
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Mumps
;
Mumps Vaccine
;
Orchitis
;
Vaccination
;
Young Adult
5.The Preventive Effect of Systemic Treatment with Interferon-alpha2B for Infertility of Mumps Orchitis.
Ja Hyeon KU ; Yong Soon YIM ; Chang Ho LEE ; Young Ho KIM ; Yun Seob SONG ; Youn Soo JEON ; Min Eui KIM ; Nam Kyu LEE ; Young Ho PARK
Korean Journal of Fertility and Sterility 1999;26(1):111-116
Postpubertal mumps may result in ochitis and permanent testicular atrophy may develop following infection. This present study was initiated to evaluate the preventive effect of interferon-alpha2B on infertilty after mumps orchitis. There were 21 patients with mumps orchitis between May 1990 and June 1997. Patients were randomly distributed into 2 groups: group 1 patients (n=13) maintained therapy with interferon-alpha2B (3x10(6) IU per day) and group 2 were managed by conservatively. All of the patients were evaluated with testis size measurement, mumps virus titer, hormone level, and if possible semen analysis. For group 1 patients symptoms disappeared within 2 to 3 days and the volume of testis returned to normal within 11 days and testis atrophy was not observed in all patients in follow up. But asthenospermia was continued in 4 patients (unilateral 2, bilateral 2). For group 2 patients symptoms disappeared within 5 to 6 days and the volume of testis returned to normal within 10 days and testis atrophy was observed in 3 patients (unilateral 2, bilateral 1) in floow up. Asthenospermia was continued in 4 patients (unilateral 2, bilateral 2). Sperm count and morphology were recovered all the recover in group 1, 4 patients had persistent reduced sperm count and morphology in group 2, respectively. These observations suggest that systemic interferon-alpha2B treatment is highly effective in preventing infertility as well as testicular atrophy after mumps orchitis.
Atrophy
;
Follow-Up Studies
;
Humans
;
Infertility*
;
Male
;
Mumps virus
;
Mumps*
;
Orchitis*
;
Semen Analysis
;
Sperm Count
;
Testis
6.Brucella Epididymorchitis: A Rare Cause of Testicular Mass.
Woo Heon CHA ; Young Sil CHOI ; Sung Woo KIM ; Gyoung Yim HA ; Ki Ho KIM ; Young Jin SEO ; Kyung Seop LEE
Korean Journal of Urology 2007;48(3):359-362
Brucellosis is a zoonosis, which is caused by Brucella abortus, B. melitensis, B. suis and B. canis. Brucellosis has been an emerging disease since the discovery of B. melitensis, by Bruce, in 1887. Worldwide, brucellosis remains a major source of disease in both humans and domesticated animals. A high prevalence in certain geographical areas is well recognized, but has been largely underestimated. In Korea, the first human case of Brucellosis occurred in 2002, but the incidence of human brucellosis has now increased. Herein, a case of epididymorchitis due to brucellosis is reported.
Animals, Domestic
;
Brucella abortus
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Brucella*
;
Brucellosis
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Epididymitis
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Humans
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Incidence
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Korea
;
Male
;
Orchitis
;
Prevalence
7.2 Cases of Mumps Orchitis Treated with Systemic Interferon-alpha2.
Jun Taik YI ; Sang Don LEE ; Moon Kee CHUNG
Korean Journal of Urology 1999;40(10):1385-1392
Mumps orchitis represents the most common complication of mumps infections and occurs in 5 to 37% of the populations. The most important danger is the risk of testicular atrophy up to 50% of affected testis which results in sterility. Two patients with mumps orchitis received systemic treatment with Interferon-alpha2(INF-alpha2)(3x06IU per day) for 7 days. All acute symptoms and signs of mumps orchitis disappeared within 4-7 days of INF-alpha2 therapy. No incidence of testicular atrophy was observed at the 19 and 6 months follow-up, respectively. No significant adverse effects of drug were occurred during treatment. We recommend the immediate interferon therapy, as soon as mumps orchitis manifests, to relieve clinical manifestation and to prevent testicualr atrophy and resulting infertility.
Atrophy
;
Follow-Up Studies
;
Humans
;
Incidence
;
Infertility
;
Interferons
;
Male
;
Mumps*
;
Orchitis*
;
Testis
8.Color Doppler Ultrasonography in the Evaluation of the Acute Scrotum.
Byung Dae PARK ; Sung Goo CHANG ; Soo Eung CHAI
Korean Journal of Urology 1994;35(2):172-176
Color Doppler ultrasonography was performed in 41 patients with the acute onset of scrotal pain. of the 32 cases of 33 inflammatory diseases (epididymitis n=19, epididymo-orchitis n=12, orchitis n=1) color Doppler image demonstrated increased epididymal or testicular flow. Color Doppler ultrasonography correctly predicted the need for surgery in 5 of 9 operated patients and correctly predicted the outcome in all 32 nonoperated patients. In the two cases of 3 detorsions which were evident in color Doppler ultrasonography was incorrectly diagnosed with testis scintigraphy. Color Doppler ultrasonography is more effective than testis scintigraphy. Results show that color Doppler ultrasonography helps accurately correlate anatomy and perfusion in real time and may prove to be the definitive imaging technique for the diagnostic evaluation of the acute scrotum.
Humans
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Male
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Orchitis
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Perfusion
;
Radionuclide Imaging
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Scrotum*
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Testis
;
Ultrasonography, Doppler, Color*
9.Urethrovaginal Fistula due to Behcet's Disease.
Soo Dong KIM ; Dong Won CHOI ; Won Yeol CHO ; Gyung Tak SUNG ; Jin Han YOON
Korean Journal of Urology 2004;45(2):194-196
Behcet's disease is a multisystem disorder presented with recurrent oral and genital ulcerations as well as ocular involvement. The principal manifestations in the urinary system are glomerulonephritis, cystitis, epididymitis, orchitis, and genital ulcerations. Urethrovaginal fistula is an unusual complication. The primary lesion of the disease is a small vessel vasculitis with endothelial deposition of immunocomplexes, and consequent inflammatory and necrotizing process of the vascular wall. We experienced a 19-year-old woman with Behcet's disease, who had a large urethrovaginal fistula on the anterior vaginal wall. The size of fistula was 2x1cm. For this patient, we tried combining bulbocavernosus muscle and labial fat pad flap (Martius flap) urethral reconstruction. This operative method seemed to be safe and effective for the urethral defect with Behcet's disease.
Adipose Tissue
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Behcet Syndrome
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Cystitis
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Epididymitis
;
Female
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Fistula*
;
Glomerulonephritis
;
Humans
;
Male
;
Orchitis
;
Ulcer
;
Vasculitis
;
Young Adult
10.Testicular Tuberculosis Mimicking Testicular Malignancy.
Jung Hyun KIM ; Gyu Gwang LEE ; Hyun Ho HWANG ; Young Min KIM ; Jae Hee SUH ; Ro Jung PARK
Korean Journal of Urology 2005;46(7):767-769
Genitourinary tuberculosis is the most common manifestation of an extrapulmonary tuberculous infection. The most common site of genital tuberculosis is the epididymis, but testicular tuberculosis is very rare. A 30 year old patient presented with a painless right testicular mass. Under the clinical diagnosis of a right testicular tumor, a right radical inguinal orchiectomy was performed. The pathological diagnosis revealed testicular tuberculosis, without involvement of the epididymis.
Adult
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Diagnosis
;
Epididymis
;
Humans
;
Male
;
Orchiectomy
;
Orchitis
;
Tuberculosis*
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Tuberculosis, Male Genital