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Taiji Tsukamoto - One of the best experts on this subject based on the ideXlab platform.
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chlamydial seminal vesiculitis without symptomatic urethritis and Epididymitis
International Journal of Urology, 2006Co-Authors: Ryoji Furuya, Satoshi Takahashi, Seiji Furuya, Koh Takeyama, Naoya Masumori, Taiji TsukamotoAbstract:We previously reported that seminal vesiculitis was associated with acute Epididymitis, and that Chlamydia trachomatis was the major causative pathogen for infection of the seminal vesicle, suggesting that seminal vesiculitis was a discrete disease entity. In this paper, we report two patients with bacteriologically and cytologically proven seminal vesiculitis who had asymptomatic urethritis but not Epididymitis. The clinical courses of these patients suggest that chlamydial seminal vesiculitis may be a cause of asymptomatic infection of the urethra or subsequent development of acute Epididymitis.
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A patient with seminal vesiculitis prior to acute chlamydial Epididymitis.
Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy, 2005Co-Authors: Ryoji Furuya, Satoshi Takahashi, Seiji Furuya, Koh Takeyama, Taiji TsukamotoAbstract:This is the first report of a case of seminal vesiculitis prior to acute chlamydial Epididymitis. At the first visit to the clinic, the patient wished to check whether he had Chlamydia trachomatis in his genital tract, because his wife had been diagnosed as having chlamydial cervicitis. He had no specific symptoms at that time; however, transrectal ultrasonograpy (TRUS) revealed swelling of seminal vesicles, which suggested the presence of seminal vesiculitis. Two days after the first visit, he had high-grade fever and was diagnosed as having acute Epididymitis caused by C. trachomatis. We had previously reported that seminal vesiculitis was always complicated with acute Epididymitis, so this case could provide important evidence that seminal vesiculitis might precede acute Epididymitis. It suggested that acute Epididymitis could be affected by seminal vesiculitis via the retrograde transmission route.
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is seminal vesiculitis a discrete disease entity clinical and microbiological study of seminal vesiculitis in patients with acute Epididymitis
The Journal of Urology, 2004Co-Authors: Ryoji Furuya, Satoshi Takahashi, Seiji Furuya, Koh Takeyama, Yasuharu Kunishima, Taiji TsukamotoAbstract:ABSTRACTPurpose: To our knowledge direct evidence of inflammatory involvement of the seminal vesicles has not previously been reported in patients with acute Epididymitis. We verified the discrete disease entity of seminal vesiculitis associated with acute Epididymitis.Materials and Methods: The study included 13 patients who were clinically diagnosed with acute Epididymitis. We report imaging, cytological and bacteriological findings in the seminal vesicles of patients with acute Epididymitis.Results: On transrectal ultrasonography 12 of the 13 patients (92.3%) had dilatation of the seminal vesicle on the side ipsilateral to Epididymitis. Dilatation of the contralateral side was found in only 4 patients. Seminal vesicle fluid from the ipsilateral side showed inflammatory findings in all patients. In patients 40 years and younger Chlamydia trachomatis was detected in seminal vesicle fluid in 7 of the 8 patients with Epididymitis with results positive for the microorganism on first voided urine.Conclusions...
R G Bolte - One of the best experts on this subject based on the ideXlab platform.
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a retrospective review of pediatric patients with Epididymitis testicular torsion and torsion of testicular appendages
Pediatrics, 1998Co-Authors: H A Kadish, R G BolteAbstract:Study Objective. To compare historical features, physical examination findings, and testicular color Doppler ultrasound in pediatric patients with Epididymitis, testicular torsion, and torsion of appendix testis. Methods. A retrospective review of patients with the diagnosis of Epididymitis, testicular torsion, or torsion of appendix testis. Results. Ninety patients were included in the study (64 with Epididymitis, 13 with testicular torsion, and 13 with torsion of appendix testis). Historical features did not differ among groups except for duration of symptoms. Of 13 patients with testicular torsion all had a tender testicle and an absent cremasteric reflex. When compared with the testicular torsion group, fewer patients with Epididymitis had a tender testicle (69%) or an absent cremasteric reflex (14%). 62 (97%) patients with Epididymitis had a tender epididymis and 43 (67%) had scrotal erythema/edema. By comparison, 3 (23%) and 5 (38%) patients with testicular torsion had a tender epididymis or scrotal erythema/edema, respectively. Doppler ultrasound showed decreased or absent blood flow in 8 patients, 7 of whom were diagnosed with testicular torsion. Ten out of 13 patients with testicular torsion had a salvageable testicle at the time of surgery. Conclusion. The physical examination is helpful in distinguishing among Epididymitis, testicular torsion, and torsion of appendix testis. Patients presenting with a tender testicle and an absent cremasteric reflex were more likely to have a testicular torsion rather than Epididymitis or torsion of appendix testis. An absent cremasteric reflex was the most sensitive physical finding for diagnosing testicular torsion. Color Doppler ultrasound is a useful adjunct in the evaluation of the acute scrotum when physical findings are equivocal.
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A retrospective review of pediatric patients with Epididymitis, testicular torsion, and torsion of testicular appendages.
Pediatrics, 1998Co-Authors: H A Kadish, R G BolteAbstract:To compare historical features, physical examination findings, and testicular color Doppler ultrasound in pediatric patients with Epididymitis, testicular torsion, and torsion of appendix testis. A retrospective review of patients with the diagnosis of Epididymitis, testicular torsion, or torsion of appendix testis. Ninety patients were included in the study (64 with Epididymitis, 13 with testicular torsion, and 13 with torsion of appendix testis). Historical features did not differ among groups except for duration of symptoms. Of 13 patients with testicular torsion all had a tender testicle and an absent cremasteric reflex. When compared with the testicular torsion group, fewer patients with Epididymitis had a tender testicle (69%) or an absent cremasteric reflex (14%). 62 (97%) patients with Epididymitis had a tender epididymis and 43 (67%) had scrotal erythema/edema. By comparison, 3 (23%) and 5 (38%) patients with testicular torsion had a tender epididymis or scrotal erythema/edema, respectively. Doppler ultrasound showed decreased or absent blood flow in 8 patients, 7 of whom were diagnosed with testicular torsion. Ten out of 13 patients with testicular torsion had a salvageable testicle at the time of surgery. The physical examination is helpful in distinguishing among Epididymitis, testicular torsion, and torsion of appendix testis. Patients presenting with a tender testicle and an absent cremasteric reflex were more likely to have a testicular torsion rather than Epididymitis or torsion of appendix testis. An absent cremasteric reflex was the most sensitive physical finding for diagnosing testicular torsion. Color Doppler ultrasound is a useful adjunct in the evaluation of the acute scrotum when physical findings are equivocal.
Ryoji Furuya - One of the best experts on this subject based on the ideXlab platform.
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chlamydial seminal vesiculitis without symptomatic urethritis and Epididymitis
International Journal of Urology, 2006Co-Authors: Ryoji Furuya, Satoshi Takahashi, Seiji Furuya, Koh Takeyama, Naoya Masumori, Taiji TsukamotoAbstract:We previously reported that seminal vesiculitis was associated with acute Epididymitis, and that Chlamydia trachomatis was the major causative pathogen for infection of the seminal vesicle, suggesting that seminal vesiculitis was a discrete disease entity. In this paper, we report two patients with bacteriologically and cytologically proven seminal vesiculitis who had asymptomatic urethritis but not Epididymitis. The clinical courses of these patients suggest that chlamydial seminal vesiculitis may be a cause of asymptomatic infection of the urethra or subsequent development of acute Epididymitis.
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A patient with seminal vesiculitis prior to acute chlamydial Epididymitis.
Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy, 2005Co-Authors: Ryoji Furuya, Satoshi Takahashi, Seiji Furuya, Koh Takeyama, Taiji TsukamotoAbstract:This is the first report of a case of seminal vesiculitis prior to acute chlamydial Epididymitis. At the first visit to the clinic, the patient wished to check whether he had Chlamydia trachomatis in his genital tract, because his wife had been diagnosed as having chlamydial cervicitis. He had no specific symptoms at that time; however, transrectal ultrasonograpy (TRUS) revealed swelling of seminal vesicles, which suggested the presence of seminal vesiculitis. Two days after the first visit, he had high-grade fever and was diagnosed as having acute Epididymitis caused by C. trachomatis. We had previously reported that seminal vesiculitis was always complicated with acute Epididymitis, so this case could provide important evidence that seminal vesiculitis might precede acute Epididymitis. It suggested that acute Epididymitis could be affected by seminal vesiculitis via the retrograde transmission route.
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is seminal vesiculitis a discrete disease entity clinical and microbiological study of seminal vesiculitis in patients with acute Epididymitis
The Journal of Urology, 2004Co-Authors: Ryoji Furuya, Satoshi Takahashi, Seiji Furuya, Koh Takeyama, Yasuharu Kunishima, Taiji TsukamotoAbstract:ABSTRACTPurpose: To our knowledge direct evidence of inflammatory involvement of the seminal vesicles has not previously been reported in patients with acute Epididymitis. We verified the discrete disease entity of seminal vesiculitis associated with acute Epididymitis.Materials and Methods: The study included 13 patients who were clinically diagnosed with acute Epididymitis. We report imaging, cytological and bacteriological findings in the seminal vesicles of patients with acute Epididymitis.Results: On transrectal ultrasonography 12 of the 13 patients (92.3%) had dilatation of the seminal vesicle on the side ipsilateral to Epididymitis. Dilatation of the contralateral side was found in only 4 patients. Seminal vesicle fluid from the ipsilateral side showed inflammatory findings in all patients. In patients 40 years and younger Chlamydia trachomatis was detected in seminal vesicle fluid in 7 of the 8 patients with Epididymitis with results positive for the microorganism on first voided urine.Conclusions...
H A Kadish - One of the best experts on this subject based on the ideXlab platform.
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a retrospective review of pediatric patients with Epididymitis testicular torsion and torsion of testicular appendages
Pediatrics, 1998Co-Authors: H A Kadish, R G BolteAbstract:Study Objective. To compare historical features, physical examination findings, and testicular color Doppler ultrasound in pediatric patients with Epididymitis, testicular torsion, and torsion of appendix testis. Methods. A retrospective review of patients with the diagnosis of Epididymitis, testicular torsion, or torsion of appendix testis. Results. Ninety patients were included in the study (64 with Epididymitis, 13 with testicular torsion, and 13 with torsion of appendix testis). Historical features did not differ among groups except for duration of symptoms. Of 13 patients with testicular torsion all had a tender testicle and an absent cremasteric reflex. When compared with the testicular torsion group, fewer patients with Epididymitis had a tender testicle (69%) or an absent cremasteric reflex (14%). 62 (97%) patients with Epididymitis had a tender epididymis and 43 (67%) had scrotal erythema/edema. By comparison, 3 (23%) and 5 (38%) patients with testicular torsion had a tender epididymis or scrotal erythema/edema, respectively. Doppler ultrasound showed decreased or absent blood flow in 8 patients, 7 of whom were diagnosed with testicular torsion. Ten out of 13 patients with testicular torsion had a salvageable testicle at the time of surgery. Conclusion. The physical examination is helpful in distinguishing among Epididymitis, testicular torsion, and torsion of appendix testis. Patients presenting with a tender testicle and an absent cremasteric reflex were more likely to have a testicular torsion rather than Epididymitis or torsion of appendix testis. An absent cremasteric reflex was the most sensitive physical finding for diagnosing testicular torsion. Color Doppler ultrasound is a useful adjunct in the evaluation of the acute scrotum when physical findings are equivocal.
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A retrospective review of pediatric patients with Epididymitis, testicular torsion, and torsion of testicular appendages.
Pediatrics, 1998Co-Authors: H A Kadish, R G BolteAbstract:To compare historical features, physical examination findings, and testicular color Doppler ultrasound in pediatric patients with Epididymitis, testicular torsion, and torsion of appendix testis. A retrospective review of patients with the diagnosis of Epididymitis, testicular torsion, or torsion of appendix testis. Ninety patients were included in the study (64 with Epididymitis, 13 with testicular torsion, and 13 with torsion of appendix testis). Historical features did not differ among groups except for duration of symptoms. Of 13 patients with testicular torsion all had a tender testicle and an absent cremasteric reflex. When compared with the testicular torsion group, fewer patients with Epididymitis had a tender testicle (69%) or an absent cremasteric reflex (14%). 62 (97%) patients with Epididymitis had a tender epididymis and 43 (67%) had scrotal erythema/edema. By comparison, 3 (23%) and 5 (38%) patients with testicular torsion had a tender epididymis or scrotal erythema/edema, respectively. Doppler ultrasound showed decreased or absent blood flow in 8 patients, 7 of whom were diagnosed with testicular torsion. Ten out of 13 patients with testicular torsion had a salvageable testicle at the time of surgery. The physical examination is helpful in distinguishing among Epididymitis, testicular torsion, and torsion of appendix testis. Patients presenting with a tender testicle and an absent cremasteric reflex were more likely to have a testicular torsion rather than Epididymitis or torsion of appendix testis. An absent cremasteric reflex was the most sensitive physical finding for diagnosing testicular torsion. Color Doppler ultrasound is a useful adjunct in the evaluation of the acute scrotum when physical findings are equivocal.
Satoshi Takahashi - One of the best experts on this subject based on the ideXlab platform.
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chlamydial seminal vesiculitis without symptomatic urethritis and Epididymitis
International Journal of Urology, 2006Co-Authors: Ryoji Furuya, Satoshi Takahashi, Seiji Furuya, Koh Takeyama, Naoya Masumori, Taiji TsukamotoAbstract:We previously reported that seminal vesiculitis was associated with acute Epididymitis, and that Chlamydia trachomatis was the major causative pathogen for infection of the seminal vesicle, suggesting that seminal vesiculitis was a discrete disease entity. In this paper, we report two patients with bacteriologically and cytologically proven seminal vesiculitis who had asymptomatic urethritis but not Epididymitis. The clinical courses of these patients suggest that chlamydial seminal vesiculitis may be a cause of asymptomatic infection of the urethra or subsequent development of acute Epididymitis.
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A patient with seminal vesiculitis prior to acute chlamydial Epididymitis.
Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy, 2005Co-Authors: Ryoji Furuya, Satoshi Takahashi, Seiji Furuya, Koh Takeyama, Taiji TsukamotoAbstract:This is the first report of a case of seminal vesiculitis prior to acute chlamydial Epididymitis. At the first visit to the clinic, the patient wished to check whether he had Chlamydia trachomatis in his genital tract, because his wife had been diagnosed as having chlamydial cervicitis. He had no specific symptoms at that time; however, transrectal ultrasonograpy (TRUS) revealed swelling of seminal vesicles, which suggested the presence of seminal vesiculitis. Two days after the first visit, he had high-grade fever and was diagnosed as having acute Epididymitis caused by C. trachomatis. We had previously reported that seminal vesiculitis was always complicated with acute Epididymitis, so this case could provide important evidence that seminal vesiculitis might precede acute Epididymitis. It suggested that acute Epididymitis could be affected by seminal vesiculitis via the retrograde transmission route.
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is seminal vesiculitis a discrete disease entity clinical and microbiological study of seminal vesiculitis in patients with acute Epididymitis
The Journal of Urology, 2004Co-Authors: Ryoji Furuya, Satoshi Takahashi, Seiji Furuya, Koh Takeyama, Yasuharu Kunishima, Taiji TsukamotoAbstract:ABSTRACTPurpose: To our knowledge direct evidence of inflammatory involvement of the seminal vesicles has not previously been reported in patients with acute Epididymitis. We verified the discrete disease entity of seminal vesiculitis associated with acute Epididymitis.Materials and Methods: The study included 13 patients who were clinically diagnosed with acute Epididymitis. We report imaging, cytological and bacteriological findings in the seminal vesicles of patients with acute Epididymitis.Results: On transrectal ultrasonography 12 of the 13 patients (92.3%) had dilatation of the seminal vesicle on the side ipsilateral to Epididymitis. Dilatation of the contralateral side was found in only 4 patients. Seminal vesicle fluid from the ipsilateral side showed inflammatory findings in all patients. In patients 40 years and younger Chlamydia trachomatis was detected in seminal vesicle fluid in 7 of the 8 patients with Epididymitis with results positive for the microorganism on first voided urine.Conclusions...