Orquiepididimitis diagnosticada por ultrasonografía y factores asociados, Hospital José Carrasco Arteaga. Cuenca, 2017

Abstract

Orchiepididymitis represents the most frequent cause of acute scrotal pathology, followed by testicular torsion and chronic causes such as varicocele, epididymal cysts, and tumors. Ultrasonography has high sensitivity and specificity (1). Objective: To determine the prevalence of orchiepididymitis diagnosed by ultrasonography and associated factors such as sexual practices, positive leukocytes in urine dipstick, mumps records, vasectomy, post-surgical inguino-scrotal hernia and trauma in patients of the José Carrasco Arteaga Hospital. Cuenca, 2017. Methodology: A cross-sectional analytical study was conducted in patients aged from 20 to 60 years who are treated in José Carrasco Arteaga Hospital in the City of Cuenca during the year 2017. An infinite population was used as the sampling for this study. The information was presented in tables through absolute and relative frequencies for findings distribution, according to the type of pathology. The quantitative variables were analyzed with measures of central tendency and dispersion. The prevalence ratio was used for acquiring significance, accepting values p < 0.05 as significant and determining association by using the Prevalence Ratio (PR) with its 95% CI. Results: 239 patients participated in the study. The prevalence of orchiepididymitis in patients from 20 to 39 years was 39.33%, 21.75% corresponded to ages between 20 to 39 years. There is statistical significance in marital status amongst the different groups, reporting a 17.99% of married participants. The most affected side was the right side (43.6%); homogenous echo-structure in 53.2% and hyperechoic in 78.7%. Edema (23.4%), hyper-vascular flow in 96.8%. Among the risk factors that have statistical significance to produce orchiepididymitis are sexual practices, positive leukocytes in urine dipstick and mumps