CLINICOECHOGRAPHIC CHARACTERISTIC OF TESTICLE ABSCESS

Abstract

Aim. The aim of the study was to investigate the peculiar features of clinicoechographic picture of the testicle abscess. Materials and methods. The work is based on retrospective analysis of 10 testicle abscess cases observed over the period of 2005-2015. Standard clinicolaboratory studies and high resolution ultrasonography were applied. Results. Among acute inflammatory diseases of the testicle and appendage, the incidence of testicle abscess was 1 %. In 4/5 of cases, testicle abscess occurred as a complication of acute epididymoorchitis among patients over fifty with burdened immunodeficient background and different inflammatory urogenital diseases. According to ultrasonography data, testicle abscess at its acute stage was detected in 1 patient, subacute - in 2, chronic - in 7. The testicle abscess sizes were 28,4 (12-65) mm or 2,6 (1,3-5,5) cm3. Abscess occupied one segment of the testicle in 1 patient, two segments - in 5, total purulent melting of the testicle - in 4. By their acoustic signs, testicle abscess did not differ from those of the other localization. In its clinical course, testicle abscess at the acute and subacute stages was manifested as acute inflammatory disease of the testicle or appendage, at the chronic stage - as abscess and scrotal purulent fistula. As a result of clinicolaboratory study, testicle abscess was supposed in 4 patients, as a result of ultrasound study - testicle abscess was diagnosed in all patients. Pathomorphological study performed in 8 patients following orchiectomy indicated verification of testicle abscess in all of them. At the same time, in 1 case abscess was combined with testicle cancer, not revealed during the preoperative examination. Conclusions. Patients with acute inflammatory testicle and appendage diseases burdened by immunodeficient background (age over 50) have an increased risk for the development of testicle abscess and should be taken under a strict dynamic clinicolaboratory and echographic control in the course of mana-gement.

Keywords

Testicle abscess / clinical and ultrasound diagnosis

References

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RIGHTS & PERMISSIONS

Prokhorov A.V.