Svend-Hansen H, Nielsen P, Pedersen N
Int Urol Nephrol. 1977;9(3):245-8. doi: 10.1007/BF02082171.
The urographies of 106 patients with acute epididymitis are reviewed. In 71 cases the urogrpahy was completely normal, while in the remaining 35 patients abnormalities were found. In 25 patients the findings were consistent with hypertrophy of the prostate. More than half of the patients had known urological diseases and had undergone cystoscopy and/or catheterization prior to the onset of acute epididymitis. All 35 patients had demonstrated symptoms that would otherwise have resulted in intravenous urography independent of the epididymitis. No cases of urogenital tuberculosis were found. The authors conclude that routine urography under the age of 50 is not recommended. Over the age of 50 concomitant urological diseases are so common that urography is often indicated, but acute epidiymitis in itself is only a relative indication.
对106例急性附睾炎患者的尿路造影进行了回顾。71例患者的尿路造影完全正常，而其余35例患者发现有异常。25例患者的检查结果符合前列腺肥大。超过半数的患者已知患有泌尿系统疾病，并且在急性附睾炎发作之前已经接受了膀胱镜检查和/或导尿术。所有35例患者都表现出了一些症状，这些症状本来会导致独立于附睾炎之外的静脉尿路造影检查。未发现泌尿生殖系统结核病例。作者得出结论，不建议对50岁以下的患者进行常规尿路造影。50岁以上的患者并发泌尿系统疾病非常常见，因此常常需要进行尿路造影，但急性附睾炎本身只是一个相对的指征。
