Skip to main content

Lund University Publications

LUND UNIVERSITY LIBRARIES

Urological Impact of Epididymo-orchitis in Patients with Anorectal Malformation : An ARM-Net Consortium Study

Morandi, Anna ; Fanjul, Maria ; Iacobelli, Barbara Daniela ; Samuk, Inbal ; Aminoff, Dalia ; Midrio, Paola ; De Blaauw, Ivo ; Schmiedeke, Eberhard ; Pini Prato, Alessio and Feitz, Wout , et al. (2022) In European Journal of Pediatric Surgery 32(6). p.504-511
Abstract

Introduction To investigate the current experience of the ARM-Net Consortium in the management of epididymo-orchitis (EO) in patients with anorectal malformations (ARMs), and to identify specific risk factors and the need for urological care involvement. Materials and Methods  We retrospectively collected data of EO in patients with ARM between 2015 and 2019. Data on urological aspects, ARM type, surgical approach, associated anomalies, diagnosis, and treatment of EO were collected and analyzed. Results  Twenty-nine patients were reported by 12 centers. Twenty-six patients with EO (90%) had ARM with a rectourinary fistula. Median age at first EO was 2 years (range: 15 days-27 years). Twenty patients (69%) experienced multiple EO, and... (More)

Introduction To investigate the current experience of the ARM-Net Consortium in the management of epididymo-orchitis (EO) in patients with anorectal malformations (ARMs), and to identify specific risk factors and the need for urological care involvement. Materials and Methods  We retrospectively collected data of EO in patients with ARM between 2015 and 2019. Data on urological aspects, ARM type, surgical approach, associated anomalies, diagnosis, and treatment of EO were collected and analyzed. Results  Twenty-nine patients were reported by 12 centers. Twenty-six patients with EO (90%) had ARM with a rectourinary fistula. Median age at first EO was 2 years (range: 15 days-27 years). Twenty patients (69%) experienced multiple EO, and 60% of recurrences were ipsilateral. Associated urological anomalies included vesicoureteral reflux (48%), urethral anomalies (41%), neurogenic bladder (41%), and ectopic vas (10%). A positive urine culture during EO was present in 69%. EO was treated with antibiotics (90%), limiting surgical exploration to 14%. Prevention of recurrences included surgery (bulking agents 15%, vasectomy 15%, and orchiectomy 5%) and antibiotic prophylaxis (20%). Conclusion  Urologists may encounter patients with EO in ARM patients, frequently with positive urine culture. An appropriate urologic work-up for most ARM patients is necessary to identify and treat underlying risk factors. A practical scheme for the work-up is suggested for a close collaboration between pediatric surgeons and urologists.

(Less)
Please use this url to cite or link to this publication:
author
; ; ; ; ; ; ; ; and , et al. (More)
; ; ; ; ; ; ; ; ; ; ; ; ; ; ; and (Less)
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
acute scrotum, anorectal malformation, epididymo-orchitis, LUTD, urology
in
European Journal of Pediatric Surgery
volume
32
issue
6
pages
504 - 511
publisher
Georg Thieme Verlag
external identifiers
  • pmid:35073590
  • scopus:85124187448
ISSN
0939-7248
DOI
10.1055/s-0042-1742300
language
English
LU publication?
yes
id
6af2bc57-0c79-4fb3-96b8-181ff2a2d95f
date added to LUP
2023-01-13 14:24:05
date last changed
2024-04-18 18:55:13
@article{6af2bc57-0c79-4fb3-96b8-181ff2a2d95f,
  abstract     = {{<p>Introduction To investigate the current experience of the ARM-Net Consortium in the management of epididymo-orchitis (EO) in patients with anorectal malformations (ARMs), and to identify specific risk factors and the need for urological care involvement. Materials and Methods  We retrospectively collected data of EO in patients with ARM between 2015 and 2019. Data on urological aspects, ARM type, surgical approach, associated anomalies, diagnosis, and treatment of EO were collected and analyzed. Results  Twenty-nine patients were reported by 12 centers. Twenty-six patients with EO (90%) had ARM with a rectourinary fistula. Median age at first EO was 2 years (range: 15 days-27 years). Twenty patients (69%) experienced multiple EO, and 60% of recurrences were ipsilateral. Associated urological anomalies included vesicoureteral reflux (48%), urethral anomalies (41%), neurogenic bladder (41%), and ectopic vas (10%). A positive urine culture during EO was present in 69%. EO was treated with antibiotics (90%), limiting surgical exploration to 14%. Prevention of recurrences included surgery (bulking agents 15%, vasectomy 15%, and orchiectomy 5%) and antibiotic prophylaxis (20%). Conclusion  Urologists may encounter patients with EO in ARM patients, frequently with positive urine culture. An appropriate urologic work-up for most ARM patients is necessary to identify and treat underlying risk factors. A practical scheme for the work-up is suggested for a close collaboration between pediatric surgeons and urologists.</p>}},
  author       = {{Morandi, Anna and Fanjul, Maria and Iacobelli, Barbara Daniela and Samuk, Inbal and Aminoff, Dalia and Midrio, Paola and De Blaauw, Ivo and Schmiedeke, Eberhard and Pini Prato, Alessio and Feitz, Wout and Van Der Steeg, Hendrik J.J. and Minoli, Dario Guido and Sloots, Cornelius E.J. and Fascetti-Leon, Francesco and Makedonsky, Igor and Garcia, Araceli and Stenström, Pernilla}},
  issn         = {{0939-7248}},
  keywords     = {{acute scrotum; anorectal malformation; epididymo-orchitis; LUTD; urology}},
  language     = {{eng}},
  number       = {{6}},
  pages        = {{504--511}},
  publisher    = {{Georg Thieme Verlag}},
  series       = {{European Journal of Pediatric Surgery}},
  title        = {{Urological Impact of Epididymo-orchitis in Patients with Anorectal Malformation : An ARM-Net Consortium Study}},
  url          = {{http://dx.doi.org/10.1055/s-0042-1742300}},
  doi          = {{10.1055/s-0042-1742300}},
  volume       = {{32}},
  year         = {{2022}},
}