Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UNIPROT:P56851 (epididymal)
 11,273 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

An elderly man who had vasectomy for recurrent epididymal orchitis infection developed vasocutaneous urinary fistula, a rare complication reported only 8 times previously. The 62-year old man suffered from E. coli infection of the epididymis recurring for 18 months which was treated with antibiotics and then bladder neck incision. When he developed acute unilateral epididymo-orchitis, right orchiectomy and left scrotal vasectomy were performed. Several years later he presented with a chronic discharge on each side of the scrotum. An abcess was curetted and vasal ends religated. Further investigations included urine flow rate, scrotal sinogram, dye marking of the bladder, voiding cystourethrogram and endoscopy. He has moderate prostate hypertrophy which was treated with resection, and the left vas was ligated in the groin at the internal ring. He recovered some urinary flow, his scrotum healed, and the infection resolved. This case emphasizes the need to consider urinary reflux as a cause of recurrent epididymitis in men with persistent lower urinary tract infection and bladder outflow obstruction.
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PMID:Vasal urinary fistula with retrograde reflux of urine after vasectomy. 395 30