Statistics of 500 cases of epididymitis tuberculosa

Abstract

This authors have observed statistically 500 cases of epididymitis tuberculosa from 1920 to 1934. Results are as follows:
1) Frequency:
This is 2.6% of the total cases the clinic.
2) Age:
The percentage of age of 500 cases:
1-10 years old 0.2% 11-20 years old 8.8%
21-30 years old 49.6% 31-40 years old 25.2%
41-50 years old 12.4% 51-60 years old 2.8%
61- years old 1.0
The youngest is 3 years old, and the oldest 65.
3) Afflicted side:
right side 130 cases 26.0 left side 148 cases 29.6%
both sides 222 cases 44.4%
There is no remarkable difference on the percentage of right and left side. The number of cases which are attacked coincidentaly is 11 (2.2%), How many days will it take to make the pathological change of the opposite side when not treated with operation? The shortest is 4 days and 11 years at the most. The percentage is as follows;
within 1 month 12 cases 17.6%
within half year 23 cases 33.8%
4) Proximate cause:
As the approximate cause there is the general condition of the body, trauma, gonorrhoea, genital congestion and tuberculosis.
a) Trauma: The contusion is very frequently observed, but here the authors find only 10 cases owing to the lack of previous history. Among them one case of falling from a horse is seen. The pathological change of epididymis by these contusions will take place after 2 months to 20 years.
b) Gonorrhoea: Gonorrhoea is recognised on the previous history only in 6%. The tuberculous change is seen atter 1-25 years when the patient is attacked by gonococcus on epididymis. The side of the pathological change on both diseases is almost the same.
The 500 tuberculous changes of epididymis are seen among 5127 cases of urethritis (15.9%) and 957 cases of epididymitis gonorrhoica (2.98%).
c) Tuberculosis of the urinary tract: Among 500 cases of this disease 173 cases of tuberculosis of urinary tract especially kidney and bladder is seen (34.6%) 798 cases of nephrophthisis are acampanied by tuberculous epididymitis at the percentage of 28.7 (321 cases).
Among 500 cases of this disease 53 cases are treated by nephrectomy(10.6%) and after this operation 28 cases are attacked by tuberculosis on epididymis. The shortest is 7 days and the longest 6 years and 9 months after nephrectomy.
The side of the singular epididymitis with that of nephrophthisis is not just crossing, but the direct may is more numerous:
The statistics on the tuberculous prostatitis are uncertain.
e) Other tuberculosis: Pleuritis is seen on 127 cases (25.4%). The tuberculosis of epididymis is seen after a month to 23 years when the case is attacked by pleuritis.
Peritonitis (1%), Phthisis (3.4%), Caries (1.7%), Lymphadenitis colli tuberculosa (1%), Arthritis tuberculosa (0.4%) and Tuberclid (0.2%) are seen in previous. history.
In short 164 cases (32.8%) are attacked by Tuberculosis on the other side of the urinary tract.
5) Complaint:
The complaint is as follows;
Swelling of epididymis 366 cases 73.2%
Pain an epididymis 104. cases 20.8%
Fistula 48 cases 9.6%
Pain of lain 7 cases 1.4%
Pain by pression upon epididymis 7 cases 1.4%
Redness of scrotal skin 6 cases 1.2%
Strain of inguinal region 5 cases 1.0%
Pain in the perineum 5 cases 1.0%
Swelling of abdominal region 4 cases 0.8%
Swelling of inguinal region 3 cases 0.6%
Abdominal pain 2 cases 0.4%
Pain in the thigh 2 cases 0.4%
Ejaculatio praecox 2 cases 0.4%
Sensitinenes to pressure of epididymis 1 cases 0.2%
Sterility 1 cases 0.2%
Complaint of disease of the urinary tract 200 cases 40.0% 6) Clinical change of epididymis and vas deferens:
Size of tumor is from the size of a pea to a fist.
Surface is almost rough.
Condition is elastic solid.
The tuberculous change on the epididymis:
on the tail section 228 case 45.6%
on the head section 49 case 9.8%
on the head and tail 22 case 4.4%
on the total 65 case 13.0%
uncertain 358 case 2