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10.1111/and.13973

http://scihub22266oqcxt.onion/10.1111/and.13973
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suck abstract from ncbi


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pmid33565141      Andrologia 2021 ; 53 (4): e13973
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  • Radiological patterns of incidental epididymitis in mild-to-moderate COVID-19 patients revealed by colour Doppler ultrasound #MMPMID33565141
  • Carneiro F; Teixeira TA; Bernardes FS; Pereira MS; Milani G; Duarte-Neto AN; Kallas EG; Saldiva PHN; Chammas MC; Hallak J
  • Andrologia 2021[May]; 53 (4): e13973 PMID33565141show ga
  • The testis is a potential target organ for SARS-CoV-2 infection. Our study intended to investigate any testicular involvement in mild-to-moderate COVID-19 men. We conduct a cross-sectional study in 18 to 55-year-old men hospitalised for confirmed COVID-19. A senior radiologist executed the ultrasound with multi-frequency linear probe in all participants, regardless of any scrotal complaints. Exclusion criteria involved any situation that could impair testicular function. Statistical analysis compared independent groups, classified by any pathological change. Categorical and numerical outcome hypotheses were tested by Fisher's Exact and Mann-Whitney tests, using the Excel for Mac, version 16.29 (p < .05). The sample size was 26 men (mean 33.7 +/- 6.2 years; range: 21-42 years), all without scrotal complaints. No orchitis was seen. Eleven men (32.6 +/- 5.8 years) had epididymitis (42.3%), bilateral in 19.2%. More than half of men with epididymitis displayed epididymal head augmentation > 1.2 cm (p = .002). Two distinct epididymitis' patterns were reported: (a) disseminated micro-abscesses (n = 6) and (b) inhomogeneous echogenicity with reactional hydrocele (n = 5). Both patterns revealed increased epididymal head, augmented Doppler flow and scrotal skin thickening. The use of colour Doppler ultrasound in mild-to-moderate COVID-19 men, even in the absence of testicular complaints, might be useful to diagnose epididymitis that could elicit fertility complications.
  • |Adult[MESH]
  • |Asymptomatic Diseases[MESH]
  • |Brazil/epidemiology[MESH]
  • |COVID-19/epidemiology/*physiopathology[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Epididymitis/*diagnostic imaging/epidemiology/physiopathology[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |SARS-CoV-2[MESH]
  • |Severity of Illness Index[MESH]
  • |Testicular Hydrocele/*diagnostic imaging/epidemiology/physiopathology[MESH]
  • |Ultrasonography, Doppler, Color[MESH]


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