Radiological patterns of incidental epididymitis in mild‐to‐moderate COVID‐19 patients revealed by colour Doppler ultrasound

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 ultrasoun...

Full description

Saved in:
Bibliographic Details
Published in:Andrologia 2021-05, Vol.53 (4), p.e13973-n/a
Main Authors: Carneiro, Felipe, Teixeira, Thiago A., Bernardes, Felipe S., Pereira, Marcelo S., Milani, Giovanna, Duarte‐Neto, Amaro N., Kallas, Esper G., Saldiva, Paulo H.N., Chammas, Maria C., Hallak, Jorge
Format: Article
Language:English
Subjects:
Abscesses
Adult
Asymptomatic Diseases
Brazil - epidemiology
COVID-19
COVID-19 - epidemiology
COVID-19 - physiopathology
Cross-Sectional Studies
Doppler effect
Epididymitis
Epididymitis - diagnostic imaging
Epididymitis - epidemiology
Epididymitis - physiopathology
Fertility
Humans
Male
Orchitis
Original
SARS-CoV-2
Severe acute respiratory syndrome coronavirus 2
Severity of Illness Index
Statistical analysis
Testes
Testicular Hydrocele - diagnostic imaging
Testicular Hydrocele - epidemiology
Testicular Hydrocele - physiopathology
testis
Ultrasonic imaging
Ultrasonography, Doppler, Color
Ultrasound
Young Adult
Citations: Items that this one cites
Items that cite this one
Online Access:Request full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary: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  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.
ISSN:0303-4569
1439-0272
DOI:10.1111/and.13973