Epididymo-orchitis risk factors in traumatic spinal cord injured patients

Mirsadraee, S. and Mahdavi, R. and Moghadam, H. V. and Ebrahimi, M. A. and Patel, H. R. H. (2003) Epididymo-orchitis risk factors in traumatic spinal cord injured patients. Spinal Cord, 41 (9). pp. 516-520.

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Abstract

Study design: Retrospective audit and interview-based study of a traumatic spinal cord injured cohort, assessing the incidence and risk of epididymo-orchitis (E-O). Objectives: Assess the potential risk factors for E-O in this cohort (spinal cord injured patients). Setting: Janbazan Clinic for Spinal Cord Injuries, Mashad, Iran. Methods: A retrospective notes audit of 169 male traumatic spinal cord injured (SCI) patients was performed. In addition, interviews were performed to confirm any equivocal data. The following risk factors were assessed: history of recurrent urinary tract infections (UTIs) urethral stricture, urethral diverticuli, urinary fistula, urinary calculi, spinal injury type, neurogenic bladder type, autonomic dysreflexia, vesico-ureteral reflux, sphincterotomy, vasectomy, marriage status, bladder residual and emptying method, ejaculation, spinal injury level, micturation control, and muscular spasm, which included detrusor, external sphincter or lower limb spasm. Results: A total of 65 patients from our group (38.5) had suffered E-O at least once. E-O presented on average, 3.9 years after the SCI. Patients with a history of muscular spasm appeared less likely to develop E-O (P<0.05). None of the vasectomised patients developed E-O. The relation between all the other factors and E-O were not significant. Conclusions: Our study has shown that the presence of muscular spasm decreases the risk of E-O, although the mechanism remains unclear. Surprisingly, the other historical risk factors showed no clear relation with E-O occurrence.

Item Type: Article
Additional Information: Cited By :9 Export Date: 16 February 2020 CODEN: SPCOF Correspondence Address: Mirsadraee, S.; Dept. of Cardio-thoracic Surgery, Leeds General Infirmary, Leeds LS1 3EX, United Kingdom
Uncontrolled Keywords: Epididymitis Epididymo-orchitis Orchitis Spinal cord injuries Spinal injuries adolescent adult article autonomic dysfunction cohort analysis human incidence interview Iran major clinical study male micturition muscle spasm neurogenic bladder priority journal retrospective study risk assessment risk factor spinal cord injury urethra stricture urinary tract fistula urinary tract infection urolithiasis vasectomy vesicoureteral reflux Ejaculation Humans Interviews Middle Aged Questionnaires Retrospective Studies Risk Factors Time Factors Urinary Bladder Urodynamics
Subjects: WJ Urogenital System
WL Nervous system
Divisions: Mashhad University of Medical Sciences
Depositing User: mr lib7 lib7
Date Deposited: 26 Apr 2020 16:38
Last Modified: 26 Apr 2020 16:38
URI: http://eprints.mums.ac.ir/id/eprint/17055

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