title: Steroid treatment for recurrent epididymitis secondary to idiopathic urethritis and urethrovasal reflux.
abstract: We describe a case of recurrent left-sided epididymitis secondary to severe idiopathic posterior urethritis extending to left seminal vesicle and vas deference with associated urethrovasal reflux (UVR). Cystourethroscopy and micturating cystourethrogram were essential for the diagnosis. Following cystourethroscopy, intravesical, and urethral instillation of topical steroid triamcinolone, patient had a full recovery. Idiopathic urethritis in association with veru montentitis, utriculitis leading to left-sided UVR, inflammation of the seminal vesicle, and vas deference causing secondary epididymitis is rare. We report the first such rare case presenting as recurrent acute scrotum and response to innovative treatment we used.
authors.affiliation: Department of Paediatric Urology, Children's Hospital, University Hospitals of Leicester NHS Trust, Leicester Royal Infirmary, Infirmary Square, Leicester, United Kingdom.
authors.forename: G K
authors.initials: GK
authors.lastname: Ninan
authors.affiliation: Department of Paediatric Urology, Children's Hospital, University Hospitals of Leicester NHS Trust, Leicester Royal Infirmary, Infirmary Square, Leicester, United Kingdom.
authors.forename: Preethi
authors.initials: P
authors.lastname: Bhishma
authors.affiliation: Department of Paediatric Urology, Children's Hospital, University Hospitals of Leicester NHS Trust, Leicester Royal Infirmary, Infirmary Square, Leicester, United Kingdom.
authors.forename: Ramnik
authors.initials: R
authors.lastname: Patel
keywords: acute scrotum; idiopathic urethritis; recurrent epididymitis; topical steroid triamcinolone; urethro-ejaculatory reflux; urethrovasal reflux