High-frequency ultrasonography for epididymal stasis after vasectomy - Abstract

OBJECTIVE: To explore the clinical application of high-frequency ultrasound in the diagnosis and treatment of epididymal stasis after vasectomy.

METHODS: We retrospectively studied the sonographic characteristics of 23 cases of epididymal stasis treated by vasectomy, which were divided into a mild (n = 5), a moderate (n = 11) and a severe group (n = 7) according to the results of color Doppler flow imaging. We analyzed the significance of high-frequency ultrasonography in the treatment of epididymal stasis after vasectomy.

RESULTS: High-frequency ultrasonography revealed 14 cases of increased bilateral epididymal volume, 6 cases of left epididymal thickening and 3 cases of right epididymal thickening, mainly the thickening of the epididymal body and tail. After conservative treatment, 18 of the epididymal stasis cases (5 mild, 11 moderate and 2 severe) were improved, and the other 5 severe cases significantly relieved and discharged from hospital following conservative treatment combined with vasectomy reversal.

CONCLUSION: Post-vasectomy epididymal stasis has typical sonographic characteristics, and high-frequency ultrasonography has an extremely important application value in the clinical classification, diagnosis and treatment of the disease.

Written by:
Zhang ZX, Liu H, Tang YG, Yang H, Zheng HB, Ou SQ, Zhong A, Le T.   Are you the author?
Guangdong Province Research Institute for Family Planning/Guangdong Province Family Planning Hospital, Guangdong 510600, China.

Reference: Zhonghua Nan Ke Xue. 2013 Mar;19(3):232-5.

PubMed Abstract
PMID: 23700729

Article in Chinese.

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