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DOI: 10.1055/s-0030-1253356
© Georg Thieme Verlag KG Stuttgart · New York
Urinalysis in Children with Epididymitis
Publikationsverlauf
received October 11, 2009
accepted after revision March 01, 2010
Publikationsdatum:
03. Mai 2010 (online)

Abstract
Background: The aim of this study was to examine the diagnostic and therapeutic yield of urine tests in epididymitis in children. Recently, urine examination in prepubertal epididymitis has been described as having little value for diagnostic or treatment. Yet, although urine cultures are often sterile, in clinical practice prepubertal boys with epididymitis are often treated with antibiotics.
Material and Methods: A retrospective analysis of all boys with 1-episode epididymitis presenting to a single institution over a 5-year-period was performed. Results of laboratory tests (blood, urine) were collected.
Results: We found 151 consecutive patients. In 93 cases (62%), results of urine examinations were available. Only 1 patient (1%) showed bacteriuria in urine sediment, while urine culture in this patient was sterile. Urine cultures were done in 6 of 97 patients treated in hospital (6%), and all cultures were sterile. Surgical exploration was performed in 7 patients (5%); in 6 of them epididymal cultures were taken intraoperatively with negative microbiological results.
Conclusion: In our group of children with epididymitis, almost all urine tests (urinalysis, urine culture) were negative. Epididymitis in prepubertal boys seems to be mostly idiopathic, and positive microbiological findings are rare. Antibiotic treatment in this age group should only be done in cases with positive urine tests.
Key words
epididymitis - children - urinalysis - antibiotic treatment
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Correspondence
Dr. med. Lutz Alexander Graumann
Department of Pediatric
Surgery, University Hospital
Philipps University Marburg
Baldingerstr. 1
35043 Marburg
Germany
Telefon: +49 6421 58 66 226
Fax: +49 6421 58 68 956
eMail: graumann@med.uni-marburg.de