Epidydimo-orchitis and anorectal malformations: when and in whom?

A. Zaccara, S. Ragozzino, B. D. Iacobelli, F. Rivosecchi, M. L. Capitanucci, G. Mosiello, M. Silveri, M. De Gennaro, P. Bagolan

Research output: Contribution to journalArticlepeer-review

Abstract

Methods: A total of 110 male patients who were operated on for ARM at the same Institution over a period of 13 years were contacted. Association was assessed between EO and the following: spinal dysraphism (SD), symptomatic VUR (VUR), and bowel management (BM) requiring enemas. The data were analyzed with the Chi-square test.

Results: A total of 89 patients were contacted. Ten cases of EO were found, and all occurred in patients with recto-urethral (RU) fistula after reconstruction. The patients’ age at first episode ranged between 4 and 11 years. RU fistula patients experiencing EO (Group A, 10 patients) were compared with those without EO (Group B, 33 patients). VUR occurred in 9/10 cases in Group A and in 13/33 cases in group B (Chi-square 7.8658, p = 0.005038). SD was present in 4/10 cases in group A and in 13/33 cases in Group B (Chi-square 0.0434, p = 0.83491). A total of 8/10 cases in Group A and 12/33 cases in Group B were on BM (Chi-square 5.87, p = 0.0015).

Conclusions: EO occurs in approximately in 20 % of male cases with ARM, and recto-urinary communication and should be considered the primary diagnosis in the presence of testicular pain. This could avoid unnecessary surgical exploration, and the family should be counseled about this subject

Purpose: Epididymo-orchitis (EO) is infrequently reported in anorectal malformation (ARM) cases. Therefore, it is difficult to assess its risk factors.

Original languageEnglish
Pages (from-to)305-309
Number of pages5
JournalPediatric Surgery International
Volume31
Issue number3
DOIs
Publication statusPublished - 2015

Keywords

  • Anorectal malformations
  • Bowel management
  • Epididymo-orchitis

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery
  • Medicine(all)

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