Elastography in Boys With Epididymo-orchitis

• Conditions: Epididymo-orchitis
• Interventions: Diagnostic Test: Shear wave elastography

• Registration Number: NCT03969979
• Lead Sponsor: Trakya University

Brief Summary

The patients treated in our clinic for epididymoorchitis will be given scrotal shear wave elastography by the Department of Radiology and affected testis will be compared to non affected testis radiologically. Shear wave elastography is a method of ultrasonography, which allows the focused ultrasonographic wave to be directed to the selected tissue to produce deformation of the tissue and to obtain the numerical data on the tissue elasticity by measuring the speed of the wave when the tissue is recovered. The higher the wave velocity, the lower the elasticity of the tissue.

The data to be obtained by this method will be compared statistically.

Detailed Description

Epididymo-orchitis is an inflammatory disease of the epididymis and / or testis. The clinical picture is manifested by sudden onset testicular pain and swelling. The differential diagnosis of testicular torsion should be made in the pediatric age group. While urgent surgery is required in testicular torsion, treatment with epididymo-orchitis consists of antiinflammatory and cold application. Scrotal ultrasonography is used in the differential diagnosis and epididymo-orchitis is diagnosed in epididymis.

The scrotal ultrasound for the control after the patient's symptoms have regressed gives an idea about the course of the inflammatory process. In recent years, the introduction of elastography, which is an advanced ultrasound technique, has begun to suggest the evaluation of the elasticity of testis and epididymis in various scrotal diseases.

In epididymo-orchitis, a disease that is known with inflammation of the testicular parenchyma, a study evaluating whether there is a permanent change in the testicular parenchyma after inflammation has regressed is not yet available in the English literature. In this study, it is planned to evaluate the pediatric patients from this perspective and contribute to the literature with the results to be obtained.

Study Timeline

• Study First Submitted: 2019-05-25
• Study First Submitted QC: 2019-05-30
• Study First Posted: 2019-05-31
• Study Start: 2019-09-20
• Status Verified: 2020-02
• Last Update Submitted: 2020-02-16
• Last Update Posted: 2020-02-18
• Primary Completion: 2020-06-10
• Study Completion: 2020-06-20

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: Male
• Target Recruitment: 45

Inclusion Criteria

• To be followed-up and treated in the Department of Pediatric Surgery at Trakya University due to epidididymo-orchitis. (Inpatient and / or outpatient clinic)
• 18 years old or younger
• Approval by the legal guardian

Exclusion Criteria

• Bilateral epididymo-orchitis
• Testicular pathology other than epididymo-orchitis (undescended testis, testicular torsion)
• Scrotal surgery (due to epididymoorchitis or not)
• Older than 18 years old

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
healthy testis	Shear wave elastography	The patients' non inflamed testis
testis with epididymo-orchitis	Shear wave elastography	The patients' previously inflamed testis with epididymo-orchitis

Primary Outcome Measures

Name	Time	Method
diagnosis of post inflammation process	3 months	Shear wave elastography numbers will be analyzed statistically

Trial Locations

Locations (1)

Trakya University Faculty of Medicine; 🇹🇷 Edirne, Turkey