Postoperative epididymitis after bladder surgery without vasectomy

Abstract

In 362 cases bladder operations were performed without previous vasectomy. The incidence of postoperative epididymitis was 15.4 per cent after transvesical prostatectomy, 3.5 per cent after suprapubic section, and 1.6 per cent after transurethral prostatectomy. The incidence was twice as high in case of diabetes and previous bilateral epididymitis, as in the other cases. The incidence of postoperative epididymitis was slightly increased in patients who 1. had not been catheterized before hospitalization; 2. had residual urines over 90 ml; 3. had been free from pyuria before surgery.

The prevalent pathogens in case of epididymitis included coagulase-negative staphylococci,Ps. aeruginosa and Enterobacter. Involvement ofE. coli, Proteus and Pseudomonas was confined to highly resistant strains.