Pediatric Surgery International

, Volume 31, Issue 3, pp 305–309 | Cite as

Epidydimo-orchitis and anorectal malformations: when and in whom?

  • A. Zaccara
  • S. Ragozzino
  • B. D. Iacobelli
  • F. Rivosecchi
  • M. L. Capitanucci
  • G. Mosiello
  • M. Silveri
  • M. De Gennaro
  • P. Bagolan
Original Article
First Online:
Accepted:
  • 237 Downloads

Abstract

Purpose

Epididymo-orchitis (EO) is infrequently reported in anorectal malformation (ARM) cases. Therefore, it is difficult to assess its risk factors.

Methods

A total of 110 male patients who were operated on for ARM at the same Institution over a period of 13 years were contacted. Association was assessed between EO and the following: spinal dysraphism (SD), symptomatic VUR (VUR), and bowel management (BM) requiring enemas. The data were analyzed with the Chi-square test.

Results

A total of 89 patients were contacted. Ten cases of EO were found, and all occurred in patients with recto-urethral (RU) fistula after reconstruction. The patients’ age at first episode ranged between 4 and 11 years. RU fistula patients experiencing EO (Group A, 10 patients) were compared with those without EO (Group B, 33 patients). VUR occurred in 9/10 cases in Group A and in 13/33 cases in group B (Chi-square 7.8658, p = 0.005038). SD was present in 4/10 cases in group A and in 13/33 cases in Group B (Chi-square 0.0434, p = 0.83491). A total of 8/10 cases in Group A and 12/33 cases in Group B were on BM (Chi-square 5.87, p = 0.0015).

Conclusions

EO occurs in approximately in 20 % of male cases with ARM, and recto-urinary communication and should be considered the primary diagnosis in the presence of testicular pain. This could avoid unnecessary surgical exploration, and the family should be counseled about this subject

Keywords

Anorectal malformations Epididymo-orchitis Bowel management 
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Notes

Conflict of interest

The authors declare that they have no conflict of interest.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  • A. Zaccara
    • 1
  • S. Ragozzino
    • 2
  • B. D. Iacobelli
    • 3
  • F. Rivosecchi
    • 4
  • M. L. Capitanucci
    • 1
  • G. Mosiello
    • 1
  • M. Silveri
    • 5
  • M. De Gennaro
    • 1
  • P. Bagolan
    • 3
  1. 1.Department of Urology and NephrologyBambino Gesu’ Children’s HospitalRomeItaly
  2. 2.Department of SurgeryMeyer Children’s HospitalFlorenceItaly
  3. 3.Newborn Surgery UnitBambino Gesu’ Children’s HospitalRomeItaly
  4. 4.Department of PediatricsBambino Gesu’ Children’s HospitalRomeItaly
  5. 5.Department of SurgeryBambino Gesu’ Children’s HospitalRomeItaly

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