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• W2016062518 abstract "No AccessJournal of UrologyVoiding Dysfunction/Neurogenic Bladder1 Aug 1995Epididymitis in Older Boys: Dysfunctional Voiding as an Etiology Timothy P. Bukowski, Alfor G. Lewis, Deborah Reeves, Jeffrey Wacksman, and Curtis A. Sheldon Timothy P. BukowskiTimothy P. Bukowski More articles by this author , Alfor G. LewisAlfor G. Lewis More articles by this author , Deborah ReevesDeborah Reeves More articles by this author , Jeffrey WacksmanJeffrey Wacksman More articles by this author , and Curtis A. SheldonCurtis A. Sheldon More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)67156-8AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Although male infants and young boys with epididymitis have a high incidence of anatomical pathology, dysfunctional voiding is not a well established cause of epididymitis. In our series 36 boys with epididymitis underwent noninvasive urodynamic studies to determine whether a physiological defect could be assigned as an etiology. The 2 mechanisms proposed are similar to that in children with vesicoureteral reflux associated with dyssynergia or bladder instability and to a cause of recurrent urinary tract infection in children (the infrequent voider syndrome). Urinalysis and urine culture are recommended in all children with epididymitis and urethral swabs are obtained from those who are sexually active. We recommend renal/bladder ultrasound and voiding cystourethrography in all infants and young children with epididymitis. In the older child we advocate detailed questioning regarding voiding symptoms and the performance of noninvasive urodynamic studies. References 1 : Bacterial epididymo-orchitis in children and adolescents. Clin. Ped.1980; 19: 812. Google Scholar 2 : Mumps epididymitis without orchitis. New Engl. J. Med.1965; 272: 735. 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Abstract, Google Scholar 27 : The uninhibited bladder in children: effect of treatment on recurrence of urinary infection and on vesicoureteral reflux resolution. J. Urol.1983; 130: 1138. Link, Google Scholar 28 : Micturition symptoms and unstable bladder activity in girls with primary vesicoureteric reflux. Brit. J. Urol.1982; 54: 494. Google Scholar 29 : Vesicoureteral reflux in boys. J. Urol., part 21988; 140: 1089. Abstract, Google Scholar 30 : Home-monitoring of uroflow in normal male adolescents. Relation between flow-curve, voided volume and time of day. Scand. J. Urol. Nephrol.1988; 114: 58. Google Scholar 31 : Normal pediatric uroflow rates in a nonclinical setting. J. Urol.1982; 127: 732. Link, Google Scholar Division of Pediatric Urology, Children's Hospital Medical Center, Cincinnati, Ohio.© 1995 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byRedshaw J, Tran T, Wallis M and deVries C (2014) Epididymitis: A 21-Year Retrospective Review of Presentations to an Outpatient Urology ClinicJournal of Urology, VOL. 192, NO. 4, (1203-1207), Online publication date: 1-Oct-2014.SOMEKH E, GORENSTEIN A and SEROUR F (2018) Acute Epididymitis in Boys:: Evidence of a Post-Infectious EtiologyJournal of Urology, VOL. 171, NO. 1, (391-394), Online publication date: 1-Jan-2004.HUTCHESON J, PETERS C and DIAMOND D (2018) AMIODARONE INDUCED EPIDIDYMITIS IN CHILDRENJournal of Urology, VOL. 160, NO. 2, (515-517), Online publication date: 1-Aug-1998. Volume 154Issue 2August 1995Page: 762-765 Advertisement Copyright & Permissions© 1995 by American Urological Association, Inc.MetricsAuthor Information Timothy P. Bukowski More articles by this author Alfor G. Lewis More articles by this author Deborah Reeves More articles by this author Jeffrey Wacksman More articles by this author Curtis A. Sheldon More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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