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Neurovascular sparing vas clipping: last option for recurrent epididymo-orchitis in urethrovasal reflux due to urethral injury

  • Urology - Case Report
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Abstract

Acute scrotum is a critical clinical entity in children. This report presents a 12-year-old boy presented with recurrent epididymo-orchitis (EO) with a history of pelvic trauma and urethral disruption 10 years ago. Antegrade and retrograde studies confirmed urethrovasal reflux. The patient did not respond to prophylactic antibiotics, clean intermittent catheterization and endoscopic injection of bulking agent at the junction of the ejaculatory duct and posterior urethra. As the last option, neurovascular sparing vas clipping was performed and the patient made a full recovery. This is the first report of this technique in the treatment for recurrent EO caused by traumatic injury.

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Authors and Affiliations

  1. Pediatric Urology Research Center, Tehran University of Medical Sciences, No. 62, Dr. Gharib’s Street, Keshavarz Blv, 1419733151, Tehran, Iran

    Reza Khorramirouz, Sarah Mozafarpour, Mohammad Javad Mohseni & Abdol-Mohammad Kajbafzadeh

Authors
  1. Reza Khorramirouz
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  2. Sarah Mozafarpour
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  3. Mohammad Javad Mohseni
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  4. Abdol-Mohammad Kajbafzadeh
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Correspondence to Abdol-Mohammad Kajbafzadeh.

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Khorramirouz, R., Mozafarpour, S., Mohseni, M.J. et al. Neurovascular sparing vas clipping: last option for recurrent epididymo-orchitis in urethrovasal reflux due to urethral injury. Int Urol Nephrol 46, 853–856 (2014). https://doi.org/10.1007/s11255-013-0605-x

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  • DOI: https://doi.org/10.1007/s11255-013-0605-x

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