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Keywords:
Emergency, Ultrasound, Diagnostic procedure, Acute
Authors:
A. V. Prochorov; Moscow/RU
DOI:
10.1594/ecr2014/B-1011
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 the cause of repeated surgical intervention on the scrotum organs.
5.
Clinical and laboratory manifestations of the AND are non-specific.
The AND often simulates acute epididymitis and therefore usually not recognized in time.
6.
High-resolution ultrasound of the VD is a reliable and accessible method of diagnosis of the AND.
It allows: a) to evaluate the amount of inflammatory lesions of the scrotum; b) to clarify the stage of AND (destructive or non-destructive); c) to exclude acute inversion,
injury and testicular tumor; d) to define the strategy of treatment of AND (medical or surgical); e) to evaluate the effectiveness of treatment; f) to determine the tactics (the volume) of surgical intervention in the development of destructive stage AND.
7.
High-resolution ultrasound the VD should be an integral part of the routine protocol ultrasound of the scrotum all patients with suspected inflammatory diseases of the urogenital organs.