Epididymo-orchitis Clinical Trial
Official title:
Assesment of the Testicular Effects of Epididymo-orchitis in Boys Via Elastograpy
The patients treated in our clinic for epididymoorchitis will be given scrotal shear wave
elastography by the Department of Radiology and affected testis will be compared to non
affected testis radiologically. Shear wave elastography is a method of ultrasonography, which
allows the focused ultrasonographic wave to be directed to the selected tissue to produce
deformation of the tissue and to obtain the numerical data on the tissue elasticity by
measuring the speed of the wave when the tissue is recovered. The higher the wave velocity,
the lower the elasticity of the tissue.
The data to be obtained by this method will be compared statistically.
Epididymo-orchitis is an inflammatory disease of the epididymis and / or testis. The clinical
picture is manifested by sudden onset testicular pain and swelling. The differential
diagnosis of testicular torsion should be made in the pediatric age group. While urgent
surgery is required in testicular torsion, treatment with epididymo-orchitis consists of
antiinflammatory and cold application. Scrotal ultrasonography is used in the differential
diagnosis and epididymo-orchitis is diagnosed in epididymis.
The scrotal ultrasound for the control after the patient's symptoms have regressed gives an
idea about the course of the inflammatory process. In recent years, the introduction of
elastography, which is an advanced ultrasound technique, has begun to suggest the evaluation
of the elasticity of testis and epididymis in various scrotal diseases.
In epididymo-orchitis, a disease that is known with inflammation of the testicular
parenchyma, a study evaluating whether there is a permanent change in the testicular
parenchyma after inflammation has regressed is not yet available in the English literature.
In this study, it is planned to evaluate the pediatric patients from this perspective and
contribute to the literature with the results to be obtained.
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