Epididymitis in infants with anorectal malformation.
OBJECTIVE
To document the characteristics of epididymitis in boys with anorectal malformations.


METHODS
Sixty-six boys with anorectal malformation were treated between January 1990 and January 2000, in our center. Four of these boys experienced epididymitis attacks. The first three patients had rectourinary fistula and the fourth had a low type anorectal malforation without a rectourinary fistula.


RESULTS
Patients were followed up for seven to nine years and epididymitis did not recur after the definitive operation in the first three patients. The fourth patient had four other episodes of epididymitis postoperatively and no reason for these episodes could be found during the further urological evaluation. Two patients had urinary tract infection and one patient had urinary tract contamination during their episodes of epididymitis.


CONCLUSIONS
The cause of the epididymitis can be anorectal malformation with rectourethral fistula itself or another urogenital anomaly that is associated with anorectal malformation. There is a relationship between urinary tract infection and epididymitis in these patients.
Kiyan
Gürsu
G
Department of Pediatric Surgery, Marmara University School of Medicine, Cocuk Cerrahisi Anabilim Dali, Tophanelioglu Caddesi 13-15, Altunizade, Istanbul, 81190, Turkey. gursukiyan@marmara.edu.tr
Dagli
Tolga E
TE
Iskit
Serdar H
SH
Tugtepe
Halil
H
D003937:Diagnosis, Differential; D004823:Epididymitis / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D007223:Infant; D008297:Male; D012003:Rectal Fistula / Q000150:complications* / Q000151:congenital* / Q000601:surgery; D012008:Recurrence; D014548:Urinary Fistula / Q000150:complications* / Q000151:congenital* / Q000601:surgery; D014552:Urinary Tract Infections / Q000209:etiology