TY  - JOUR
A1  - Wenzel, Mike
A1  - Deuker, Marina
A1  - Welte, Maria-Noemi
A1  - Höh, Robert Benedikt
A1  - Preißer, Felix Martin
A1  - Homrich, Till
A1  - Kempf, Volkhard A. J.
A1  - Hogardt, Michael
A1  - Mandel, Philipp
A1  - Karakiewicz, Pierre I.
A1  - Chun, Felix
A1  - Kluth, Luis A.
T1  - Catheter management and risk stratification of patients with in inpatient treatment due to acute epididymitis
T2  - Frontiers in Surgery
N2  - Objective: This study aims to evaluate catheter management in acute epididymitis (AE) patients requiring inpatient treatment and risk factors predicting severity of disease.
Material and Methods: Patients with diagnosed AE and inpatient treatment between 2004 and 2019 at the University Hospital Frankfurt were analyzed. A risk score, rating severity of AE, including residual urine > 100 ml, fever > 38.0°C, C-reactive protein (CRP) > 5 mg/dl, and white blood count (WBC) > 10/nl was introduced.
Results: Of 334 patients, 107 (32%) received a catheter (transurethral (TC): n = 53, 16%, suprapubic (SPC): n = 54, 16%). Catheter patients were older, exhibited more comorbidities, and had higher CRP and WBC compared with the non-catheter group (NC). Median length of stay (LOS) was longer in the catheter group (7 vs. 6 days, p < 0.001), whereas necessity of abscess surgery and recurrent epididymitis did not differ. No differences in those parameters were recorded between TC and SPC. According to our established risk score, 147 (44%) patients exhibited 0–1 (low-risk) and 187 (56%) 2–4 risk factors (high-risk). In the high-risk group, patients received a catheter significantly more often than with low-risk (TC: 22 vs. 9%; SPC: 19 vs. 12%, both p ≤ 0.01). Catheter or high-risk patients exhibited positive urine cultures more frequently than NC or low-risk patients. LOS was comparable between high-risk patients with catheter and low-risk NC patients.
Conclusion: Patients with AE who received a catheter at admission were older, multimorbid, and exhibited more severe symptoms of disease compared with the NC patients. A protective effect of catheters might be attributable to patients with adverse risk constellations or high burden of comorbidities. The introduced risk score indicates a possibility for risk stratification.
KW  - epididymitis
KW  - suprapubic catheter
KW  - transurethral catheter
KW  - catheter
KW  - risk score
KW  - antibiotic treatment
Y1  - 2020
UR  - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/57203
UR  - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-572031
SN  - 2296-875X
VL  - 7
IS  - Article 609661
PB  - Frontiers Media
CY  - Lausanne
ER  -