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European J Pediatr Surg Rep. 2013; 01(01): 056-059
DOI: 10.1055/s-0033-1343076
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Steroid Treatment for Recurrent Epididymitis Secondary to Idiopathic Urethritis and Urethrovasal Reflux

G. K. Ninan
1   Department of Paediatric Urology, Children's Hospital, University Hospitals of Leicester NHS Trust, Leicester Royal Infirmary, Infirmary Square, Leicester, United Kingdom
,
Preethi Bhishma
1   Department of Paediatric Urology, Children's Hospital, University Hospitals of Leicester NHS Trust, Leicester Royal Infirmary, Infirmary Square, Leicester, United Kingdom
,
Ramnik Patel
1   Department of Paediatric Urology, Children's Hospital, University Hospitals of Leicester NHS Trust, Leicester Royal Infirmary, Infirmary Square, Leicester, United Kingdom
› Author Affiliations
Further Information

Publication History

25 October 2012

12 February 2013

Publication Date:
20 April 2013 (online)

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Abstract

We describe a case of recurrent left-sided epididymitis secondary to severe idiopathic posterior urethritis extending to left seminal vesicle and vas deference with associated urethrovasal reflux (UVR). Cystourethroscopy and micturating cystourethrogram were essential for the diagnosis. Following cystourethroscopy, intravesical, and urethral instillation of topical steroid triamcinolone, patient had a full recovery. Idiopathic urethritis in association with veru montentitis, utriculitis leading to left-sided UVR, inflammation of the seminal vesicle, and vas deference causing secondary epididymitis is rare. We report the first such rare case presenting as recurrent acute scrotum and response to innovative treatment we used.

Keywords

idiopathic urethritis - urethrovasal reflux - urethro-ejaculatory reflux - acute scrotum - recurrent epididymitis - topical steroid triamcinolone
 

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