AI Article Synopsis

  • The study investigated the use of high-frequency ultrasound for diagnosing and treating epididymal stasis after vasectomy, involving 23 cases categorized by severity.
  • Ultrasound findings showed various levels of epididymal thickening, with 18 cases improving after conservative treatment, while a few severe cases required additional procedures.
  • The research concluded that high-frequency ultrasound is crucial for the diagnosis and management of epididymal stasis related to vasectomy, highlighting specific sonographic features.

Article Abstract

Objective: To explore the clinical application of high-frequency ultrasound in the diagnosis and treatment of epididymal stasis after vasectomy.

Methods: We retrospectively studied the sonographic characteristics of 23 cases of epididymal stasis treated by vasectomy, which were divided into a mild (n = 5), a moderate (n = 11) and a severe group (n = 7) according to the results of color Doppler flow imaging. We analyzed the significance of high-frequency ultrasonography in the treatment of epididymal stasis after vasectomy.

Results: High-frequency ultrasonography revealed 14 cases of increased bilateral epididymal volume, 6 cases of left epididymal thickening and 3 cases of right epididymal thickening, mainly the thickening of the epididymal body and tail. After conservative treatment, 18 of the epididymal stasis cases (5 mild, 11 moderate and 2 severe) were improved, and the other 5 severe cases significantly relieved and discharged from hospital following conservative treatment combined with vasectomy reversal.

Conclusion: Post-vasectomy epididymal stasis has typical sonographic characteristics, and high-frequency ultrasonography has an extremely important application value in the clinical classification, diagnosis and treatment of the disease.

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