Purpose
Introduction.
Acute nonspecific deferentitis (AND) or inflammation of the vas deferens (VD),
known in English literature as acute nonspecific vasitis,
is poorly understood and not sufficiently addressed in the literature disease.
As shown by personal experience,
in contrast to the well-known post-vasectomy vasitis nodosa (resp.,
sperm granulomas VD),
the AND is unfamiliar to a wide circle of radiologists and practical urologists.
To prove the above stated it should be noted that in many domestic and foreign guides for radiology and urology the AND,
as a...
Methods and materials
Prospective comprehensive investigation of urogenital organs,
including traditional clinical and laboratory examinations,
high-resolution ultrasound and Doppler performed in 86 patients admitted to hospital with diagnosis of acute epididymitis.
Terms of admission to hospital from the beginning of disease amounted to 2,5 (0,5 - 7,5) days.
Ultrasound performed at the apparatus of the expert class “VolusonE8” and “Voluson730 exp” (GE,
USA) using linear probe high-resolution (6 - 16 MHz) and transrectal probe (5 - 9 MHz).
All anatomical parts of the VD were studied,
except pelvis...
Results
In the control group VD identified as incompressible,
hypoechoic and layered tubular anatomical structure,
which occupies a marginal position in the spermatic cord,
having a clear external contours and regular sizes.
Outer diameter and internal structure of the VD does not depend on the age,
body mass index,
sizes the testicles and prostate.
Visualization were available all the anatomical parts of the VD,
except in the pelvic region.
Density intraductal blood flow at Power Doppler was 0 (0 - 1) signals to cross-sectional area of...
Conclusion
1.
AND is one of the commonest complications of urethritis,
prostatitis and seminal vesiculitis with urogenital infections in adults.
2.
As a rule,
the AND is combined with acute epididymitis.
In some cases,
AND can be preceded by acute epididymitis or proceed in isolation as an independent disease.
3.
In most cases,
the AND is limited to defeat scrotal part of the VD.
4.
AND refers to surgical diseases requiring urgent diagnostics and,
if necessary,
surgical treatment strategy.
Underestimation of the AND stage may be...
Personal information
Prokhorov A.V.,
radiologist
Medical-diagnostic department N 1 of Municipal clinical hospital N 57,
Moscow,
Russia
Contact information: Prokhorov,
Andrey Vladimirovich,
[email protected],
(916) 847-69-40
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Imaging findings prevent unnecessary surgery in vasitis: anunder-reported condition mimicking inguinal...